About this role
Job Description: Consideration will only be given only to candidates living in the Louisville Metro area.
ESSENTIAL JOB FUNCTIONS
• Verifies client’s mental health, intellectual disability, and/or substance abuse benefits and obtains initial authorization and subsequent authorizations, as determined by guarantor. • Verifies all commercial and Medicare Advantage plans for agency at intake and all reports related to changes to these guarantors. • Works daily reports to move authorizations through life cycle of authorization from intake to discharge. • Communicates guarantors needs to operations staff. • Pulls necessary information from charts for retro reviews and appeals. • Collaborates and educates operations staff on authorization process and status of their client’s request. • Implements tracking system to obtain future authorizations and any other maintenance needed by guarantor. • Resolves billing problems and/or receives insurance updates.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
EDUCATION
• High School diploma: Associate degree preferred.
EXPERIENCE
• Two years of administrative experience.
REQUIREMENTS
• Excellent observation skills, analytical thinking, problem-solving, and good verbal and written communication skills. • Basic knowledge of managed care and reimbursement concepts • Knowledgeable of medical terminology, CPT, HCPC, and revenue codes • Excellent customer service skills
PHYSICAL DEMANDS
• The position requires lifting up to 20 pounds, with frequent lifting and/or carrying of items weighing up to 10 pounds. • Occasional minor discomfort from continual exposure to a video display terminal.
Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focusing on customer service responsiveness and continuous quality improvement. Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.
Time Type: Full time