Authorization Specialist

Lifeworks Services•Richfield, MN
•Hybrid

About The Position

The Authorization Specialist is responsible for obtaining and entering the service authorizations. In addition, this role enters all budgets and budget addendums for the company’s self-directed clients into the appropriate systems. This role ensures that all required authorizations are obtained in a timely and efficient manger, adhering to company policies, regulations, and industry standards.

Requirements

  • Must pass a background study with the Department of Human Services, a drug test, and have reliable transportation to use for work driving purposes (e.g., in-office, on-site training locations, etc.).
  • High school diploma or equivalent required.
  • Previous experience in healthcare, human services, insurance or a related field is highly desirable.
  • Experience using computer applications, electronic health records (EHR) preferred.
  • Proficiency in Microsoft Office Suite

Nice To Haves

  • Associate’s degree in a relevant field (e.g., healthcare administration, business administration) preferred

Responsibilities

  • Ensuring all required documentation and information are complete and accurate for new budgets, renewals, and addendum requests for all Self-Directed services.
  • Following up with appropriate staff on the status of authorization and addendum requests, as they pertain to the budgets, and address any issues timely.
  • Keeping detailed records of all budget/addendum requests, changes, denials and correspondence.
  • Reviewing and addressing any issues that arise during the budget/addendum entry process.
  • Resolving issues and providing timely updates to all parties involved.
  • Keeping detailed records of all service authorization requests and correspondence.
  • Reviewing and entering authorization requests for all Self-Directed program services.
  • Monitoring and analyzing authorization metrics to identify trends and areas for improvement.
  • Preparing reports and summaries on authorization activities for management.
  • Addressing inquiries from program leaders and staff, regarding authorization status and services delivered.
  • Partnering with the Accounts Receivable team and others as needed, to resolve issues.
  • Assisting in audits and reviews to ensure adherence to internal and external standards.

Benefits

  • 18 days of PTO accrued in the first year of employment
  • 11 paid holidays (New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving, Day after Thanksgiving, Christmas Eve, Christmas Day, and a Personal Holiday)
  • Medical, dental, vision, life, AD&D insurance, short & long-term disability coverage
  • Health Savings Account (HSA), Flexible Savings Account (FSA), and prescription drug coverage
  • Up to $3,000 annually in tuition reimbursement
  • 403(b) retirement plan – Lifeworks contributes 3% of your salary and matches up to 4% of employee contributions
  • Employee Assistance Program (EAP)
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