Authorization Specialist

Description

Who is Comprehensive Healthcare?
Comprehensive Healthcare provides innovative behavioral health and integrated healthcare services to clients of all ages. We take pride in our creative and collaborative work environment and in delivering clinically excellent, trauma-informed, recovery-oriented services.

What are we looking for in an Authorization & Referral Specialist?
The Authorization & Referrals Specialist works within our Support Services team to manage referrals and insurance authorizations across the organization. This position is responsible for coordinating internal and external referrals, and for obtaining, entering, and tracking authorizations within our electronic health records. The Authorization & Referrals Specialist works directly with clients to coordinate for incoming client referrals and providing referrals to clients to receive treatment with other care providers. This position requires exceptional customer service skills and the ability to effectively communicate insurance requirements, billing procedures, and referral processes in a supportive and helpful manner. The ability to speak, read, and write both English and Spanish is preferred for this role.

Authorization & Referral Specialist duties may include:

• managing internal & external referrals for the organization
• scheduling referral appointments, sending reminders, and providing information to both clients and referring providers
• processing authorizations and submitting supporting clinical documentation to insurance carriers in a timely manner
• monitoring for issues with authorizations & referrals and taking necessary actions to report and address problems
• collaborating with other departments to obtain authorizations & referrals
• maintaining current knowledge of funding source requirements including Medicaid, Medicare, and private insurances 
• completing special projects as assigned

Qualifications:

• High school diploma or GED
• One year of general office experience, preferably in the healthcare field
• Bilingual English & Spanish preferred
• Must be fully vaccinated against COVID-19 and provide documentation upon hire or be approved for a qualifying medical or religious exemption prior to starting work

What Comprehensive Healthcare Can Offer You 
Training and Development

• A variety of career opportunities in a wide range of settings with room for mobility and promotion
• Regular training opportunities including support, supervision, and consultation in implementing evidence-based services and programs

Innovative Program & Services

• A strong reputation for providing quality, evidence-based services within a collaborative multi-disciplinary team environment 
• Innovative, forward-looking leadership that seeks to thrive in an ever-changing healthcare environment
• Joint Commission-accredited organization committed to continuous quality improvement
• Established partnerships with major research universities and other community and healthcare providers to implement cutting-edge treatment programs and services

Excellent Benefits

• Competitive salaries within our communities and industry
• Healthcare coverage for employee and qualified family members
• Generous vacation, paid holiday and sick leave policies
• Access to Employee Assistance Program services
• Agency-funded retirement plan with contributions equal to 5% of compensation
• Additional retirement investment opportunities with a 50% investment match of up to 4% of compensation
• Agency-funded life and disability insurance program 
• Financial incentives to further employee education

Qualifications

Comprehensive Healthcare is proud to be an equal opportunity employer. We do not discriminate based on race, sex, age, color, religion, national origin, sexual orientation, gender identity or expression, marital status, veteran status, disability status, or any other basis prohibited by federal, state, or local law. We value the diverse perspectives and strengths that our employees bring to the workplace and we encourage individuals from underrepresented groups to apply for our positions.