Clinical Authorization Coordinator

Damar Services, Inc.•Indianapolis, IN

7d•Onsite

About The Position

The Clinical Authorization Coordinator is responsible for coordinating and managing prior authorization processes to support accurate billing and reimbursement for behavioral health and medical services. This role works closely with clinical teams, billing staff, and insurance providers to ensure prior authorizations are submitted, approved, and renewed in a timely manner. The Clinical Authorization Coordinator will primarily support prior authorizations for therapists while providing backup support for medical prior authorizations.

Requirements

High school diploma or GED required
Minimum of 1 year of experience in healthcare billing, insurance verification, or prior authorization processes required
Ability to pass and maintain CPR Certification
Minimum age of 18 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
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
Communicate effectively to exchange information
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

Nice To Haves

Bachelor’s degree preferred
Experience working with Medicaid, Managed Medicaid, Medicare, and private insurance companies preferred
Experience supporting prior authorizations for behavioral health or medical services preferred
Experience reviewing documentation for billing accuracy and insurance authorization requirements preferred
Trauma informed care and de-escalation training

Responsibilities

Attends mandatory staff meeting and other meetings as assigned
Establishes and maintains effective communication with pay sources, including Medicaid, Managed Medicaid, Medicare, and private insurers
Tracks behavioral health patient admissions and discharges to support accurate authorization and billing processes
Reviews documentation to ensure required information is available for prior authorization submissions
Collaborates with Accounting and billing staff to resolve authorization-related billing issues
Coordinates the submission, tracking, and approval of prior authorizations for behavioral health services.
Monitors authorization approval periods and renewal dates to prevent interruptions in services and billing
Communicates with clinical teams regarding authorization requirements, approval status, and necessary documentation
Provides backup support for medical prior authorizations 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