What are the responsibilities and job description for the Authorization Specialist position at Center for Human Development?
Center for Human Development (CHD), is seeking an Authorization Specialist to join our team in our Springfield, MA office. The Authorization Specialist acts as a key liaison between the revenue cycle management team and clinical program staff facilitating communication around authorizations, medical necessity requirements and payer protocols.
YOUR ROLE AS THE AUTHORIZATION SPECIALIST WILL INCLUDE:
- You will provide critical support to clinical authorization workflows, ensuring compliance with payer requirements and timely submission of authorization requests.
- Monitor authorization statuses, track expirations, and initiate re-authorization processes as needed.
- Data and report maintenance with weekly tracking for all service lines which require an authorization.
- Coordinate and manage the technical billing ticketing system, triaging requests to either outsourced teams or internal departments for efficient resolution.
- Assist with the input and maintenance of referring provider data within the EHR system.
- Navigate payer websites and technical resources to assist with user access, ensuring that program, clinical staff, outsourced agencies, etc; all have the necessary information and tools to resolve issues.
- Provide cross-coverage for various internal CHD revenue cycle tasks, ensuring seamless operational continuity.
REQUIRMENTS:
- High school diploma or equivalent required.
- Must have 3-5 year of experience in front-end revenue cycle within a healthcare setting, with a strong focus on authorizations.
- Experience with electronic health records (EHR) systems and payer portals.
- All candidates must complete and pass background record screening
SUCCESS FACTORS:
The ideal candidate for the Authorization Specialist role would have previous experience with EHR systems. A proficiency with Microsoft Office suite, specifically with strong capabilities in excel. They should be a strong communicator that approaches interactions with management and clinical staff in a pleasant and professional manner.
Take advantage of a competitive compensation of $41,000-$55,000 range based on experience. As well as a phenomenal benefit package that includes, Dental, Health and Life insurance. Paid time off, earned vacation time and paid holidays just to name a few.
AT Center for Human Development (CHD) Care Finds a way:
The Center for Human Development (CHD) provides a broad range of high quality, community-oriented human services dedicated to promoting, enhancing, and protecting the dignity and welfare of people in need. At CHD we are celebrating differences, inclusion is not just a policy- it is a daily practice. Multicultural, multilingual, and fluent in sign language, CHD is a reflection of those we serve.
CONNECT WITH OUR TEAM TODAY!
If this sounds like the right job for you, do not wait - apply today to join our team. We look forward to hearing from you!
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Education
Required- High School or better
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $41,000 - $55,000
