Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Crossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT). We treat patients with opioid use disorder (OUD) using medications such as methadone and suboxone/ buprenorphine. We pride ourselves in supporting our patients’ medical and personal recoveries from substance use disorder. Starting our fight against the opioid addiction crisis in 2005, Crossroads has remained physician led and patient focused as we’ve grown to 100 clinics across nine states. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients. Day in the Life of a Prior Authorization and Referral Team Lead Oversees the operations of the authorization department, encompassing authorizations and referrals. Analyze prior authorizations for accuracy and completeness. Achieves staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards. Audits current procedures to monitor and improve efficiency of authorization/referral operations. Ensures that the activities of the authorization department are conducted in a manner that is consistent with overall department protocol, and follow Federal, State, and payer regulations, guidelines, and requirements. Analyzes trends impacting charges and takes appropriate action. Keep up to date with carrier rule changes and distribute the information within the practice/team. Understands and is up to date with current authorization and referral regulations and compliance requirements. Develops, implements, and maintains authorization policies and procedures. Troubleshooting patient billing complaints, develops process improvements to prevent recurrences. Supervises authorization staff, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance. Responsible for tracking and organizing status of authorizations, inputting authorization numbers into the EMR, and scanning proof of authorization obtained into patients’ charts. Responsible for specific team training and development of team members, providing feedback and monitoring. Prepares reports for various departments pertaining to authorization. Supports leadership in oversight of designated Revenue Cycle Management responsibilities to ensure all RCM functions are worked within the established timeframes. Ensures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations. Conduct team meetings to educate on insurance and authorization guidelines, and complete ongoing re- training efforts. Maintain patient confidentiality and function within the guidelines of HIPAA. Provide resolution support and guidance surrounding all authorization processes and the performance management of all direct reports. Proven leadership and management skills Serves as the practice expert and go to person for authorization processes. Demonstrated analytic, written, and oral communication skills. Takes initiative and daily decision making. Performs other miscellaneous duties as assigned pertaining to job level. Education and Experience requirements High school diploma or equivalent. 3 years of supervisory experience in a similar role. Preferred 3 years authorization and referral experience – in a hospital or physician office setting. Working knowledge of practice management software. General Knowledge of HCPCS, CPT-4 and ICD9-10 coding and/or medical terminology. Familiar with multiple payer requirements and regulations for utilizing benefits. Hours and Schedule Position will be fully in office during training period which may vary depending on candidate's ability to meet competency requirements. Once requirements have been met, the employee may transition to working three days in office per week and two days remote. Position Benefits Have a daily impact on many lives. Excellent training if you are new to this field. Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate. Community events that promote belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events. Opportunity to save lives everyday! Benefits Package Medical, Dental, and Vision Insurance PTO Variety of 401K options including a match program with no vesture period Annual Continuing Education Allowance (in related field) Life Insurance Short/Long Term Disability Paid maternity/paternity leave Mental Health Day Calm subscription for all employees Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Story Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Currently operating more than 100 clinics across 9 states, Crossroads is a family of professionals dedicated to providing the most accessible, highest quality treatment options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Crossroads operates over 30 opioid treatment programs and around 100 office-based opioid treatment clinics in Colorado, Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. Crossroads uses evidence-based medication-assisted treatment (MAT) to help individuals struggling with opioid use disorder. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. Our Mission Is Focused: We exist to improve health equity in order to create superior outcomes. Our Vision Is Clear: To provide the most convenient, comprehensive, high-quality care through specialty medical homes. Our Culture Is Inspiring: Our culture is based on one simple tenet: we would treat others as we would like to be treated – with respect and empathy. We pride ourselves on how we serve our patients. Our INSPIRE culture sets us apart in how we interact not just with patients, but with our communities and each other on a day-to-day basis.