Inpatient Authorization Coordinator

Park Place Behavioral Healthcare•Kissimmee, FL

About The Position

SUMMARY: Responsible for verifying insurance eligibility, initiating and managing inpatient authorization requests, and ensuring accurate documentation within the Electronic Health Record (EHR). This role supports the revenue cycle by coordinating insurance pre-certifications, maintaining communication with payers, and ensuring all admissions meet payer requirements for authorization. The coordinator also assists with intake documentation, maintains accurate client records, and ensures compliance with HIPAA and organizational policies.

Requirements

High School Diploma
Experience working with Electronic Health Record, EHR
Knowledge of Medicaid, Medicare and Commercial payers' authorization processes preferred.
PPBH is a 24/7 Agency. All employees must be available as needed when required.

Nice To Haves

Associate's degree in healthcare administration, Business or related field preferred or equivalent work experience in insurance verification, authorizations or behavioral health billing
Bilingual preferred

Responsibilities

Assists clients with completing applications for services and upload completed documents into the Electronic Health Record.
Accurately register and update client demographic and insurance information within the Electronic Health Record system.
Maintain service request logbooks for individuals seeking services.
Review admission records entered by Access staff during non-billing coverage hours to ensure accuracy and completeness.
Prepare, label, and distribute client charts to nursing and assessment teams to support the intake process.
Establish and maintain professional communication with clients, staff, and external payers.
Demonstrate a supportive and professional approach when interacting with clients, visitors, and staff.
Provider excellent customer service, responding to client inquiries and telephone calls in a courteous and timely manner.
Ensure confidentiality and compliance with HIPAA regulations and organizational policies when handling client information.
Demonstrate working knowledge of Baker Act and Marman Act laws, including applicable criteria and procedures.
Maintain accurate documentation related to insurance communication and authorization status.
Perform additional administrative and operational duties as assigned by the Business Office Manager or Supervisor.