Our Company
SpringHealth Behavioral Health and Integrated Care
Overview
Responsible for obtaining and tracking authorization for all patients for whom their insurance requires pre[1]authorization, and ensuring the agency has the authorization required to bill for services provided.
Responsibilities
- Answer telephones and provide excellent customer service to our professional staff and insurance representatives
- Run and utilize computer reports regularly
- Observe confidentiality and safeguard all patient related information
- Provide accurate, complete updates to Agency management on status of authorizations for all patients requiring treatment authorization
- Ensures authorization is obtained and tracked for all patients whose insurance requires pre-authorization
- Is responsible for seeing that objectives are implemented, follows, and promotes agency policies and procedures
- Ensure all authorization requests are documented clearly
- Participate in the orientation and education of other employees as relates to Authorization department
- Observes confidentiality and safeguard all patient related information
- Notifies Supervisor of problems in a timely manner and works to help provide solutions
- Completes ongoing education requirements and demonstrates ongoing competency in required areas
- Other duties as assigned
Qualifications
- High school graduate or GED
- Minimum of one year of experience in Health Care billing and/or authorization practices
- General knowledge of the framework, organization, and function of home care
- Sound knowledge of health care operations and third-party reimbursement
- Proficient in the use of Microsoft Office (Word, Excel, Outlook, Internet Explorer) with the ability to learn industry specific software applications
- Solid organizational skills, thoroughness, and a keen attention to detail with the ability to multi-task while prioritizing effectively
- Ability to work independently and in a team environment
- Excellent, oral, written, and interpersonal communication skills
- Professional appearance and demeanor
About Our Line Of Business
SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives. For more information, please visit www.springhealthbehavioral.com . Follow us on Facebook and LinkedIn .
Additional Job Information
Ideal candidate would have ABA background in billing or authorizations
