We are seeking a passionate, driven, and Experienced Authorizations and Credentialing Specialist!
Vivant Behavioral Healthcare, is seeking a customer focused Authorizations and Credentialing Specialist hat thrives in a fast pace environment. This position is a remote position.
The Authorizations and Credentialing Specialist will be responsible for obtaining prior authorizations by phone and insurance portals. Process ABA authorizations for service. Knowledge of ABA authorization processes. The Authorizations & Credentialing Specialist plays a crucial role in ensuring that services provided by for our families are properly authorized with their insurance provider and/or other funding sources. The ideal candidate will also have experience in ensuring that our Clinicians are credentialed in order to provide services for the families we serve.
Responsibilities:
· Insurance Verification: Works closely with our clients and their families to obtain and verify insurance information, ensuring that ABA services are covered by the insurance plan. They may need to contact insurance companies to verify coverage details and obtain necessary authorizations.
· Communication and Coordination: Collaborates with ABA therapists, clients, and their families to gather necessary information, clarify billing-related matters, and address any questions or concerns. They may also communicate with insurance companies, healthcare providers, and other stakeholders to resolve billing-related issues.
· Communication and Coordination: Collaborates with ABA therapists, clients, and their families to gather necessary information, clarify billing-related matters, and address any questions or concerns. They may also communicate with insurance companies, healthcare providers, and other stakeholders to resolve billing-related issues.
· Stay Updated: Stays updated on changes in insurance policies, coding requirements, and billing regulations relevant to ABA services. They attend training sessions, workshops, and conferences to enhance their knowledge and skills.
· Supports the billing department and contracting and credentialing department maintaining industry knowledge relating to nationwide and state specific regulations for ABA and related specialties, and enforcing company policy relating to all policies and procedures.
You Must Have:
- A High School Diploma with 3+ years of insurance verification
- Excellent communication, research, problem solving, multi-tasking and time management skills
- High level of accuracy, efficiency, and accountability
- Detail oriented
Why work at Vivant Behavioral Healthcare:
- Competitive Compensation
- Medical, dental, vision, and life insurance after 30 days
- Company provided AD&D insurance
- Flexible Spending program
- Employee Assistance Program
- Paid Parental Leave
- Educational Assistance Program
- Excellent Paid Time Off plan for balance of work/life
- Daily Pay
Job Type: Full-time
Pay: From $24.04 per hour
Expected hours: No more than 40 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Parental leave
- Tuition reimbursement
- Vision insurance
Work Location: Remote