What are the responsibilities and job description for the Authorizations Coordinator- ABA Therapy (Remote after training) position at Stride Autism Centers?
Our Mission
Our mission is to provide the best possible support to children with autism and their families by attracting, developing and retaining world-class clinicians and therapists. Stride has an unwavering commitment to meaningful outcomes. Please visit www.stridecenters.com to learn more about us!
Responsibilities:
-Manages daily work queues to ensure prior authorizations are submitted within the company policy and timeline.
-Verify client's insurance benefits
-Identify items that require prior approval based on individual payer criteria and policy
-Learn payer's policy and procedures, documenting payer coverage policy guidelines
-Effectively place calls to payor to inquire and submit prior approvals
-Places follow up calls to payers to check status of previously submitted prior authorizations
-Work with internal company departments to resolve prior auth denials
-Escalates incorrect payer responses with payer's utilization review or case management departments.
-Work assigned accounts
-Enter both pending and official prior auth responses in all required Stride systems
-Adhere to Stride policy and procedures for completing reports, forms, and office paperwork
-Reports to supervisor and/or manager any problems or issues that result in non-approval trends
-Inputs client insurance or funding source information, pending prior auth information, treatment plan information, proposed mins for treatment, office Tax ID, NPI
-Manages all existing client's payer and prior auth requests changes, Including re-scheduling any upcoming appointments to the correct payer
-Communicate to the supervisor / manager any potential issues or delays in updating client's information within the practice management system
-Follow company and department protocols
Job Type: Full-time
Pay: From $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Insurance verification: 1 year (Required)
- Medical billing: 1 year (Required)
Work Location: One location