Insurance Authorization Specialist

MeBe•San Diego, CA

16h•$27 - $32•Remote

About The Position

MeBe Family is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT. At MeBe Family, you’ll be offered more than a job. You’ll receive training and support to develop your career and grow as an individual. You’ll work with extraordinary team members who share a common goal, to help children with autism be their best selves. Your days will be filled with meaning and purpose. MeBe is seeking an Insurance & Authorizations Specialist to join our growing clinical services team! The Authorizations Specialist directly affects clinical employee satisfaction by being a catalyst between clinicians and insurance providers, guaranteeing our clinicians have the approved codes to serve our patients. This position will work in conjunction with our billing department and contracting department, prior to setting up approvals for our clinicians and patients and will help supervise our Insurance Authorization Coordinator. About You: You take pride in your work, pay attention to the small details and have a reputation for doing high quality work. You value transparency and operate with candor and compassion. You inspire others to be their best selves. You love to weave fun and laughter into whatever you do. Making a positive impact is what drives you You value individuality and find yourself gravitating towards people with other interests who think outside the box, and push the status quo. About What You’ll Work On: Directly manage authorization requests for Applied Behavior Analysis, Speech Therapy, and Occupational Therapy services. Enter authorizations into our EMR (CentralReach) Work cohesively with clinicians & Family Success team members to ensure approvals are processed in a timely manner during onboarding and re-authorization periods. Effectively communicate benefit and authorization information between clinicians and the Family Success department. Ensure that department metrics are updated daily/weekly with upcoming authorization expirations and treatment report submissions. Oversee eligibility reports. Accurately identify and correct problems related to eligibility and authorizations. Provides concierge-level customer service while interacting with insurance company representatives. Oversee and perform various clerical and administrative tasks related to authorizations and associated issues that require initiative and independent judgment. Respond to day-to-day operational requirements in a professional and timely manner. Other duties as assigned

Requirements

Minimum of 4 years of remote administrative or clerical experience in a medical or behavioral health setting.
At least 4 years of hands-on experience with insurance verification of benefits and prior authorization processes.
Prior experience supporting one or more of the following outpatient therapy disciplines: Speech Therapy, Occupational Therapy, and/or Applied Behavior Analysis (ABA).
Experience using CentralReach for insurance authorizations or a comparable authorization management system.
Strong technical proficiency with Google Workspace and Microsoft Office (Word, Excel, email); experience with Monday.com is a plus.
Excellent verbal and written communication skills, with the ability to collaborate effectively across teams.
Proven ability to work independently in a remote environment, including maintaining a HIPAA-compliant workspace with minimal distractions and reliable home internet.
Detail-oriented, dependable, and able to manage hourly responsibilities within assigned working hours.
Team-oriented mindset, working closely with the Family Success Team, Clinicians, and Authorization Coordinators.
Located in San Diego or able to work reliably within the Pacific Time Zone.

Responsibilities

Directly manage authorization requests for Applied Behavior Analysis, Speech Therapy, and Occupational Therapy services.
Enter authorizations into our EMR (CentralReach)
Work cohesively with clinicians & Family Success team members to ensure approvals are processed in a timely manner during onboarding and re-authorization periods.
Effectively communicate benefit and authorization information between clinicians and the Family Success department.
Ensure that department metrics are updated daily/weekly with upcoming authorization expirations and treatment report submissions.
Oversee eligibility reports.
Accurately identify and correct problems related to eligibility and authorizations.
Provides concierge-level customer service while interacting with insurance company representatives.
Oversee and perform various clerical and administrative tasks related to authorizations and associated issues that require initiative and independent judgment.
Respond to day-to-day operational requirements in a professional and timely manner.
Other duties as assigned

Benefits

Industry Benchmarked, competitive pay based on location and experience $27 - $32 per hour
Twenty nine paid days off
Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents
Life, AD&D, Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance
Invest in your mental health with access to free mental health sessions
Protect your pet with discounted pet insurance
Secure your future with our 401k program
Tuition discounts available to all employees through our University Partnerships
Expansive treatment spaces
Options for positions in variety of settings: clinic; in-home
Scheduling department handles reschedules, cancellations and permanent changes to schedules
Work tools provided
Company sponsored, fun events for everyone