Job Description
This is an exciting opportunity to join our growing ABA Therapy company. We are hiring a Prior Authorization Specialist to navigate the insurance coverage parameters, verify benefits and obtain authorizations for our therapy services.
About Mindcolor Autism:
Mindcolor Autism is a national Applied Behavior Analysis (ABA) provider committed to improving the long-term quality of life for children diagnosed with autism spectrum disorder (ASD). We utilize ABA to offer individualized programs for children of all ages and abilities. We are a mission driven company and pride ourselves on having a unique culture centered around strong ethics, teamwork and transparency.
Job Duties:
· Work closely with insurance companies by phone, fax, or online portal to verify and confirm patient’s information, eligibility, and benefits.
· Navigate through different insurance company’s protocols to obtain proper authorizations for ABA services in an outpatient setting.
· Obtain necessary documents from families or primary care providers in a timely manner.
· Accurately document patient accounts in a clear manner to reflect all actions taken regarding status of eligibility/authorizations.
· Respond to clinical questions throughout the process of obtaining authorizations.
· Regularly follow-up on pending cases and contact patients to discuss authorization status.
· Maintain professional and open communication with the patients and clinical staff to ensure optimal patient care.
· Stay up to date on payer medical policies and requirements for authorizations.
· Work collaboratively in a team environment to accomplish common tasks in a collegial manner.
· Accepts special projects as assigned and completes in an efficient and timely manner.
Knowledge / Skills:
· Strong organizational skills with attention to detail.
· Excellent written and verbal communication with the ability to effectively communicate with all levels of the organization and clientele.
· Ability to multi-task and prioritize needs to meet required timelines.
· Adaptable and resourceful (ability to use available information to troubleshoot potential obstacles).
· Proficiency with MS Office and/or Google G-Suite.
Job Types: Full-time, Part-time
Pay: $18.00 - $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
Education:
- High school or equivalent (Preferred)
Experience:
- prior authorization: 1 year (Required)
Work Location: Remote