Authorization Coordinator

Quality Moments Behavioral Health•Columbus, OH

17h•Onsite

About The Position

The Authorization Coordinator serves as the liaison between Quality Moments, insurance providers, care management entities, and internal teams to obtain and maintain authorizations for behavioral health services. This position plays a critical role in supporting client access to care and ensuring compliance with payer requirements.

Requirements

High school diploma or GED required
Proficiency with Microsoft Office and electronic health record systems.
Ability to work independently while collaborating effectively with a team.

Nice To Haves

Associate's or Bachelor's degree preferred.
Minimum of one year of experience in healthcare, behavioral health, insurance authorization, medical billing, or a related field preferred.
Knowledge of Medicaid, managed care plans, and behavioral health services preferred.
Strong organizational skills and attention to detail.
Excellent verbal and written communication skills.
Ability to manage multiple priorities and deadlines.
Prior experience working with Ohio Medicaid Managed Care Plans.
Experience with prior authorizations, utilization management, or healthcare scheduling.
Familiarity with behavioral health services and documentation requirements.

Responsibilities

Submit initial and ongoing authorization requests to insurance providers and managed care organizations.
Monitor authorization status and proactively follow up on pending requests.
Track authorization expiration dates and obtain renewals before services lapse.
Review treatment plans and clinical documentation to ensure authorization requirements are met.
Communicate with clinical staff regarding authorization needs, denials, and additional documentation requests.
Maintain accurate authorization records within agency systems.
Verify insurance eligibility and benefits as needed.
Assist with appeals and reconsideration requests for denied services.
Generate reports related to authorization activity, approvals, denials, and utilization trends.
Collaborate with billing, intake, compliance, and clinical departments to ensure continuity of services.
Maintain confidentiality and compliance with HIPAA, Ohio Department of Medicaid, and organizational standards.