Authorization Specialist at The New England Center for Children

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

18 Jun, 26

Salary

20.0

Posted On

20 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Authorization Management, Insurance Verification, Funding Advocacy, Claim Denial Resolution, Quality Assurance, Data Integrity, Insurance Guidelines, CPT Coding, ICD-10 Coding, HCPCS Coding, Analytical Precision, Proactive Problem Solving, Time Management, Medical Billing

Industry

Description

Authorization Specialist On-site Phoenix, AZ At SARRC, we are dedicated to advancing research and providing support for individuals with autism and their families. We are looking for a detail-oriented Authorization Specialist who thrives on precision and plays a critical role in ensuring our clients receive the services they need through seamless funding management. As an Authorization Specialist, you are the bridge between clinical services and sustainable funding. Your expertise in insurance landscapes ensures that every client’s record is accurate, every authorization is secured, and every billing hurdle is proactively cleared. Your Role at SARRC * Authorization Management: Obtain initial authorizations, manage reauthorizations, and handle necessary adjustments to ensure continuous care for our clients. Verifies, monitors, and assist with insurance verification as needed to ensure payment for services. * Funding Advocacy: Navigate complex insurance landscapes and provide essential support in managing and resolving claim denials. * Quality Assurance: Identify errors in funding documentation and implement corrections to maintain the highest standards of record accuracy. * Data Integrity: Ensure all client funding information is documented accurately and within required timelines to prevent billing delays. Skills You Bring * Expert Knowledge of Funding Sources: Deep understanding of insurance providers, clinical funding requirements, and the authorization lifecycle. * Analytical Precision: A "hawk-eye" for detail with the ability to spot discrepancies in complex data and rectify them quickly. * Proactive Problem Solving: The ability to troubleshoot denials and navigate the nuances of insurance appeals and adjustments. * Organization & Timing: Exceptional time-management skills to meet strict deadlines for reauthorizations and documentation. Qualifications * High School diploma or GED * Minimum of two years of experience in a medical billing environment within a medically specialized enterprise. * Knowledge of insurance guidelines; including Medicare, HMO, PPO, Behavioral Health carve-outs, Arizona Medicaid (AHCCCS) and EAP services. * Knowledge of CPT, ICD-10, HCPCS coding. Preferred Qualifications * Associates Degree preferred (years of experience may be considered). * Knowledge of diagnostic testing, medical terminology, and Behavior Analytic treatment for individuals with Autism Spectrum Disorder. * Knowledge of ABA CPT codes is preferred. Salary Starts at $20/hr Hours Full-time Robust Benefits Package * Up to 16 days per year paid time off and 8 paid holidays * Medical, dental and vision insurance (majority of coverage paid for by SARRC) * 401(k) with 50% company match up to 6% * Internal job growth opportunities * Professional development annual benefit of $1000 Who We Are: Established in 1997, the Southwest Autism Research & Resource Center (SARRC) is an internationally recognized nonprofit organization dedicated to autism research, education, evidence-based treatment, and community outreach. We are one of the only autism organizations in the world that provides a lifetime of services for individuals and their families while also conducting cutting edge research.

Responsibilities

The Authorization Specialist is responsible for managing all aspects of client authorization, including obtaining initial authorizations, handling reauthorizations, and verifying insurance to ensure continuous care. This role also involves advocating for funding by navigating insurance landscapes and resolving claim denials while maintaining high standards of documentation accuracy.