Clinical Authorization Coordinator

Damar Services, Inc.•Indianapolis, IN

9d•Onsite

About The Position

The Clinical Authorization Coordinator is responsible for performing a variety of duties related to billing, clinical quality review, and provider support. This role plays an instrumental part in ensuring successful claim submission of behavioral health services, monitoring rendered services, and tracking renewal dates. The Clinical Authorization Coordinator will support various treatment teams across the organization.

Requirements

Bachelor’s degree required; preferably in social work, psychology, counseling or applicable discipline
Ability to pass and maintain Therapeutic Crisis Intervention (TCI) certification
Ability to pass and maintain CPR Certification
Minimum age of 21 per licensure requirements
Valid Indiana driver’s license and driving record that meets eligibility requirements of Damar’s insurance carrier (for all positions requiring driving)
Be clear of any felony convictions, substantiated charges of neglect or other disqualifying criminal convictions
Successfully complete a pre-employment drug screen and physical
Favorably meet and maintain Damar’s background screening
The essential functions of this position require the physical ability and mobility needed to perform the job. This includes the ability to stand or sit for prolonged periods; occasionally stoop, bend, kneel, crouch, reach, and twist; lift, carry, push, and/or pull up to 50 lbs.; operate office equipment, including a computer keyboard; travel to other locations using private or commercial transportation; and communicate effectively to exchange information.
The position also requires the ability to recognize and respond appropriately to client behaviors, staff instructions, safety concerns, and emergencies in an environment where individuals may display aggressive, self-injurious, sexually maladaptive, elopement, or other unpredictable behaviors.
Regular and acceptable attendance, excluding approved absences and periods of leave, is also an essential function of the position.
Each essential function must be performed satisfactorily, with or without reasonable accommodation.

Nice To Haves

Experience in social service field preferred
Experience preferred working with clinical documentation requirements, prior authorization processes, including DCS, Medicaid, Medicare, and private insurance companies

Responsibilities

Attends mandatory staff meeting and other meetings as assigned
Establishes and maintains effective lines of communication with representatives with pay sources, including Medicaid, Managed Medicaid and Medicare, as well as private insurers.
Tracks behavioral health patient admissions and discharges.
Monitors initial documentation and annual renewal dates
Collaborates with Accounting regarding accurate client billing
Responsible for submitting and tracking approval of clinical prior authorizations.
Provide administrative support for clinical teams, as needed.

Benefits

Mileage reimbursement
Receive world-class training of verbal intervention & physical management techniques
Enjoy the opportunity to work with our vast population and programs/services
Eligible for the Damar Advantage including discounts at Damar Health Services and Damar Pharmacy
Comprehensive training in verbal intervention and physical management techniques
Medical, Dental, and Vision Insurance options
Up to $3,000 per year in Tuition Assistance
Save for your retirement with our 401(k) Plan Participation
Take care of loved ones through our Damar provided Life Insurance and additional voluntary options
Short-Term and Long-Term Disability Insurance options
Paid Holidays to spend time with loved ones
Paid Time Off (PTO) for rest and renewal