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Authorization Coordinator Senior

The Behavior Exchange, Inc.
Prosper, TX Full Time
POSTED ON 3/23/2025
AVAILABLE BEFORE 4/18/2025

Job Description

The Authorization Coordinator Senior will be responsible for supporting company operations by following company policies and procedures. This position requires an individual with strong administrative, organizational, and problem-solving skills.

Main Responsibilities:

  • Identify, develop, and maintain referral sources and potential clients

  • Ensure smooth operation of the organization, its core values, and mission

  • Foster partnership and collaboration with payor representatives

  • Manage medical records requests, ensuring timely processing and adherence to privacy and regulatory standards

  • Process Improvement: Assist in the development and implementation of best practices for authorization management in collaboration with the billing team

  • Utilize Key Performance Indicators (KPIs) to track authorization metrics and improve efficiency in the authorization process

  • Stay informed of payer-specific requirements for authorization, documentation, and medical necessity, ensuring all necessary documentation is submitted for approval

  • Communicate with families about the importance of adhering to recommended service intensity to ensure the best outcomes for their child's therapy

  • Collaborate with the billing department to resolve billing discrepancies and aging issues

Requirements:

  • Experience in medical/behavioral/mental health/therapy-related organizations

  • Commercial and Medicaid authorization experience

  • Excellent verbal and written communication skills

  • Strong administrative, organizational, and problem-solving skills

  • Developing standards, promoting process improvement, reporting skills

  • Proficient in Microsoft Office

About Us:

The Behavior Exchange, Inc. is a dynamic organization that operates in a professional office environment. This role requires minimal travel during business hours.

What We Offer:

  • A full-time position with Monday through Friday hours

  • A competitive salary package

  • Ongoing training and development opportunities

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