Authorization Specialist
About The Position
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.
Requirements
- 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.
Nice To Haves
- 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.
Responsibilities
- Obtain initial authorizations
- Manage reauthorizations
- Handle necessary adjustments to ensure continuous care for our clients
- Verifies, monitors, and assist with insurance verification as needed to ensure payment for services
- Navigate complex insurance landscapes and provide essential support in managing and resolving claim denials
- Identify errors in funding documentation and implement corrections to maintain the highest standards of record accuracy
- Ensure all client funding information is documented accurately and within required timelines to prevent billing delays
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
