Overview

Residential Authorization and Insurance Specialist

Location:Devou Park

Department: Billing Services 

Position Reports to:Director of Billing Services

Position Supervises: n/a

Profile Last Updated: April 24, 2024

QUALIFICATIONS

• Minimum of 2 years' experience as an authorization/utilization review specialist, within adolescent substance use and/or behavioral health facilities.
• Familiarity with residential behavioral health services.
• Experience with CareLogic electronic health record system preferred.
• Experience in billing and coding is preferred but not required.
• Demonstrated history of successfully building relationships with insurance companies, their representatives, and case managers.
• Demonstrated history of receiving approval for optimal days at the highest and most appropriate level of care.
• Self-motivated and able to prioritize and identify processes that need to be implemented and/or improved, and tasks that need completion.
• Above-average organizational and time management skills, with great attention to detail.
• Strong verbal and written communication skills.
• Alignment with the Sanctuary Institute’s trauma informed care model and the Human Rights Campaign’s All Children All Families initiative in LGBTQ competencies. CHNK is certified in both models.
• Demonstrated proven sensitivity to the various cultural and socioeconomic characteristics of the CHNK clients and staff.
• Valid drivers’ license or other ability to travel between CHNK sites in a timely manner required.

POSITION SUMMARYThe Authorization and Utilization Specialist is responsible for the authorization and utilization process for the CHNK Behavioral Health residential services programs. Responsibilities include upload of appropriate documentation into the CareLogic EHR system, verification of required insurance coverage, verification of client eligibility as required, providing cost estimates for clients, running authorization due reports, and managing the extension of upcoming authorizations, working with residential staff and management for timely completion of documentation, and contacting insurance companies when necessary.

ESSENTIAL JOB FUNCTIONS

BENEFITS

Our full-time associates are eligible for the following benefits to support them as they help us improve the lives of others.*Thirty-seven paid days off 13 Paid Holidays 18 days of PTO 6 additional days of time off for illness of 3 or more days.*Four weeks of paid family leave (new child or care for a family member) after 1 year of employment*Student Loan Repayment Assistance up to $10,000 over the course of employment beginning after 6 months of employment*Tuition Reimbursement of up to $5,000 per year*Retirement Plan with 6% employer match*Medical Plan with Zero Deductible *Dental, Life, LTD, STD, and Vision*Flexible Spending Account*Employee Assistance Program*Free Parking*Dog-friendly environment at some locations (bring your pet to work)

CHNK is an Equal Opportunity Employer