Authorization Specialist

Job Number: 25-6767

Job Summary: The Authorization Specialist, is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH. CFS, and Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve meeting and greeting consumers, facilitating consumer information, requesting payment for services rendered, handling various types of payments, issuing receipts for payment, retrieving message off facility voicemail, building schedules in the Electronic Health Record for the prescribers and other duties as requested. The Authorization Specialist works under the direct supervision of the Office Manager or Clinical Team Lead with close coordination with the Practice Manager.

Regular, predictable attendance is considered to be an essential requirement for this position. Other duties may be assigned. May require a flexible work schedule.

Integral Care employees are to be committed to fostering an open, inclusive, and supportive environment that welcomes and embraces diversity in all forms. Integral Care defines diversity broadly to include race, ethnicity, abilities (mental/physical), gender, gender identity, immigrant status, language, religion, sexual orientation, socioeconomic status, veteran status, age, and other groups.

Integral Care employees are to strive to maintain a trauma sensitive workplace, to embrace trauma sensitive and informed practices, and to foster a supportive and welcoming environment of care.

Education:

Required:

• High School Diploma or GED equivalent required.

License:

Required:

• Current and valid driver's license and a clean driving record.

Experience:

Required:

• Two years experience in insurance benefits (i.e. Medicaid, CHIP, Managed Care, Private Insurance).
• Experience with procedural and diagnostic coding.
• Excellent verbal and written communications skills required in order to communicate clearly and effectively to al levels of staff and the public.
• Experience with Microsoft Word and Excel along with database computer applications.
• Ability to read, analyze, and interpret third party payer guidelines, technical procedures and governmental regulations.
• Ability to set up a routine for the performance of multiple task required in maintaining efficient day-to-day operations with little supervision.
• Ability to effectively present information and to respond to questions from center staff, managers and other customers.
• Ability to scan documents into MyAvatar Central System.

Hours: Full-Time.

Workdays: Monday - Friday.

Workhours: 7:45AM - 4:45PM.

Salary: $22.14 an hour.

Why join us: Integral Care has proudly served Travis County residents for the past 50 years. As the largest provider of behavioral health services in Travis County, we are dedicated to improving the lives of adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities.

By joining our team, you will find rewarding work every day alongside people who have as much compassion as you. Join us and together we can help improve the quality of life for the people we serve. Imagine your career at Integral Care!

Employee Benefits:

• Medical, Dental and Vision insurance
• Generous vacation/holiday/sick leave
• Life and Short-term/Long-term Disability Insurance
• Employee Assistance Program (EAP)
• 403(b) retirement account
• Gold's gym membership discount
• Mileage reimbursement

Integral Care strives to maintain a diverse workforce. We encourage all to apply, including those who have knowledge and/or experience working with underserved populations, including Asian and Pacific Islander, Black/African American, Hispanic/Latino, and LGBTQA communities.

All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, national origin, sexual orientation, gender identity, disability, veteran status, sex or age.

For specific positions, additional compensation may be available to those who are bilingual in both English and one of the following languages: Spanish, Chinese, Vietnamese, Korean, or Burmese.(

Authorization Specialist Adult
Behavioral Health/Crisis

Authorization Specialist/ Group/Step 65/8

Summary

The Authorization Specialist is responsible for daily
oversight of authorization request and approvals requiring interface with
internal and external persons/entities and any other activities related to
reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of
insurance coverage. Other regular work
duties may also involve meeting and greeting consumers, facilitating consumer
information, requesting payment for services rendered, handling various types
of payments, issuing receipts for payment, retrieving message off facility
voicemail, building schedules in the Electronic Health Record for the
prescribers and other duties as requested.
The Authorization Specialist works under the direct supervision of the
Office Manager or Clinical Team Lead with close coordination with the Practice
Manager.

Regular, predictable attendance is considered to be an
essential requirement for this position. Other duties may be assigned. May require
a flexible work schedule.

Integral Care employees are to be committed to fostering an
open, inclusive, and supportive environment that welcomes and embraces
diversity in all forms. Integral Care defines diversity broadly to include
race, ethnicity, abilities (mental/physical), gender, gender identity,
immigrant status, language, religion, sexual orientation, socioeconomic status,
veteran status, age, and other groups.

Integral Care employees are to strive to maintain a trauma
sensitive workplace, to embrace trauma sensitive and informed practices, and to
foster a supportive and welcoming environment of care.

Education, Training and Experience (including licensure
and certification)

High School Diploma or equivalent required.

Two year experience in insurance benefits (i.e. Medicaid,
CHIP, Managed Care, private insurance), required

Experience with procedural and diagnostic coding.

Excellent verbal and written communication skills required
in order to communicate clearly and effectively to all levels of staff and the
public.

Skill in Word processing, spreadsheet, and database computer
applications.

National Medical billing certification preferred.

Integral Care Drivers must have a current and valid Texas
driver's license and be approved for automobile liability coverage under the
Fund.

Knowledge, Skills and Abilities

Knowledge of business, English, spelling, punctuation and
arithmetic

Knowledge of Microsoft Windows

Ability to read, analyze, and interpret third party payer
guidelines, technical procedures and governmental regulations.

Ability to work with little supervision.

Ability to set up routine for the performance of multiple
task required in maintaining efficient day-to-day operations.

Ability to effectively present information and respond to
questions from center staff, managers and other customers.

Ability to scan documents into AZ Central system.

Ability to understand the Center's pertinent policies and
procedures accurately.

Ability to manage multiple tasks

Ability to establish and maintain an effective working
relationship authorization entities.

Physical, Mental, and Environmental Requirements

The work environment characteristics described here are
representative to those an employee may encounter while performing the
essential functions of this job. Reasonable accommodations will be considered
to enable individuals with disabilities to perform the essential functions the
position.

Work may require light to moderate carrying (10 to 45
pounds), simple grasping, dual simultaneous grasping, sitting, standing,
twisting, kneeling, stooping, walking, climbing stairs/ladders and reaching above
shoulders. Capable of working closely with others or alone. Ability to see,
read, write, count, tell time and operate office equipment. May require travel.