Benefits and Authorization Specialist Job at Therapy and Beyond, Flower Mound, TX

N3g0SkRIdFBHRTl5bVZOc213ejFwV0hwWnc9PQ==
  • Therapy and Beyond
  • Flower Mound, TX

Job Description



At Therapy & Beyond we approach the needs of each patient both individually and as part of a dynamic interdisciplinary team working with experts in applied behavior analysis (ABA) therapy, speech-language pathology, occupational therapy, and counseling. We love helping individuals reach their full potential by supporting not only the patient but also their family. We are passionate about what we do while remaining true to our  core values of excellence, responsibility, integrity, and professionalism.

Job Description



The  Authorization and Benefits Specialist  is responsible for obtaining benefits and preauthorization from payors, following up on authorization requests, obtaining retroactive authorizations, and maintaining authorizations for new patients.

JOB-SPECIFIC FUNCTIONS:

  • Responsibilities include initiating, following up, and securing benefits and authorizations sent to third-party payors. Obtain authorization renewals
  • Track and follow up on all pending authorizations at 3, 7,14, 30 days depending upon payer guidelines to expedite the claims process and avoid lost revenue
  • Process authorizations electronically, utilizing payer portals, fax, or telephone working with the payers to secure authorizations retrospectively and/or requesting single case agreements for out of network patients
  • Work directly with providers to secure clinical notes and other supporting documentation required to obtain authorizations timely
  • Verify authorization quantities and effective dates are returned and processed correctly by the third-party payers, and loaded correctly in all systems
  • Create and maintain centralized payer master list to record requirements by payer
  • Create a payer authorization manual and tips to securing authorization
  • Identify opportunities to improve authorization efficiencies electronically
  • Review and interpret insurance group pre-certification requirements, ensuring that proper pre-authorizations have been obtained from the payer and documented.
  • Interact with patients and third-party insurance companies to secure retroactive insurance coverage and authorizations, and/or single case agreements for out of network patients

Qualifications

  • Education: High School Diploma or GED required; some college preferred.
  • Experience: A minimum of 2 years in benefit verification and authorizations preferred
  • Skills: Communicates clearly and concisely, verbally and in writing, establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
  • Ability to sustain prolonged sitting and extended computer use. Requires working under some stressful conditions to meet deadlines and to make quick decisions. Require hand-eye coordination and manual dexterity.

Additional Information



Pay Range: $19-$21 per hour 

Job Tags

Hourly pay, Full time,

Similar Jobs

Two95 International Inc.

Sr.Salesforce Developer - Remote Job at Two95 International Inc.

 ...Title - Sr.Salesforce Developer Position Contract (6+ Months) Location 100% Remote Rate- $Open(Best Possible) Required Experience: ~10+ Years of experience. ~ Person should have development experience. ~ Should have experience... 

Buildingstars

Outside Sales Rep - Phoenix (50211) Job at Buildingstars

 ...Buildingstars - Phoenix has an opening for an Outside Sales Professional with a proven track record. The Outside Sales role is responsible identifying and pursuing new business opportunities within your assigned territory as well as running appointments set by our Inside... 

SmartAsset

Senior Data Analyst Job at SmartAsset

 ....About the team:At Smartasset you will join a team of data scientists, analysts and ML engineers that are at the forefront of AI/ML application...  ...:~All roles at SmartAsset are currently and will remain remote- flexibility to work from anywhere in the US.~Medical,... 

Total Aerospace Services

Interior Mechanic - Aircraft Technician Job at Total Aerospace Services

 ...overtime is available -Tools: toolbox and tools required JOB SUMMARY: Responsible for interior maintenance and repair on Commercial Aircraft Types. ESSENTIAL RESPONSIBILITIES: Remove, clean, service and replace various aircraft components with the... 

Get It - Marketing

SALES ONLY POSITION - Remote | WFH Job at Get It - Marketing

Join a Thriving Insurance Agency - Work Remotely! We are looking for two motivated, enthusiastic individuals to join our expanding team...  ...Work-Life Balance: Enjoy the flexibility of working from home with paid time off (PTO) Comprehensive Benefits: Including 100%...