Authorization & Insurance Specialist

CHC • Akron, OH

13h

About The Position

CHC is seeking an organized and detail-oriented Authorization Admin Support Specialist to join our team. This position plays an important role in supporting the intake and authorization process, ensuring services are properly authorized and billed, and helping individuals navigate their insurance benefits. The ideal candidate will have experience with intake processes, insurance payors, service authorizations, and communicating with insurance companies or Managed Care Organizations (MCOs). This position may be based in various CHC office locations and will work closely with internal teams, patients, and external payors to help ensure a smooth and efficient process from intake through service delivery and billing.

Requirements

• High school diploma or equivalent required.
• Previous experience with healthcare intake, insurance verification, prior authorizations, or medical billing preferred.
• Knowledge of insurance payors and Managed Care Organizations (MCOs).
• Experience communicating with insurance companies or other third-party payors.
• Strong attention to detail and ability to accurately track information and follow established processes.
• Excellent written and verbal communication skills.
• Ability to work independently while collaborating effectively with a variety of departments.
• Strong organizational and time-management skills.
• Proficiency with Microsoft Office and the ability to learn new software and electronic health record systems.

Responsibilities

• Review and track pending admissions for both facilities.
• Submit NOAs and discharge notifications to insurance carriers.
• Review insurance updates daily and update authorization trackers and master PA logs as needed.
• Review client insurance on Outpatient IOP tracker, check on units billed for H0015 with MCOs.
• Communicate insurance changes to relevant departments to ensure continuity of coverage and authorization compliance.
• Maintain and update the Master Prior Authorization (PA) List.
• Coordinate with clinical and program staff regarding upcoming authorization due dates.
• Reporting weekly on financial intakes that have been completed and assisting with audit process
• Reporting on weekly financial updates needed as well as ones completed and assisting with audit
• Assist in preparing reports, metrics, and data summaries for leadership and internal reviews.
• Monitor IOP authorization tracking and identify upcoming renewal requirements.
• Provide administrative support to related departments and programs as needed.

Benefits

• Medical, dental and vision benefits for employees working 30+ hours weekly!
• 32 paid days off per year! (holidays, vacation, personal and sick days!)
• Referral Bonuses!
• 403b, with company match after one year!
• Professional licensure fee reimbursement!
• Company Sponsored Training Opportunities – based on position
• Employee Assistance Program (including Health Management, Family Support and Financial Advice/Assistance)!
• Staff engagement and wellness activities
• New staff credit for the CHC apparel store

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED