Inpatient Authorization Coordinator

ABOUT US:
At Park Place Behavioral Health Care, we've been leading the way in mental health and substance use disorder services since 1976. As a multi-site facility, we provide a full spectrum of innovative behavioral health services tailored to meet the needs of both inpatient and outpatient clients.

We're more than just a workplace.  We’re a mission-driven community dedicated to improving lives. Every member of our team plays a vital role in empowering individuals and families to achieve wellness, live self-directed lives, and reach their full potential. Join our team of over 300 passionate professionals and become part of something meaningful.

We’re proud to foster a diverse, inclusive, and respectful environment where every voice matters. We know that embracing different backgrounds and perspectives not only strengthens our culture but also enhances the care we provide.

WHY WORK WITH US?:
We offer more than just a job.  We offer growth, balance, and the opportunity to make a difference.

Our benefits include:

• Paid Time Off & Holiday Pay
• Medical, Dental, and Vision Insurance
• Basic Life and AD&D Insurance
• Short-Term Disability
• Flexible Spending Accounts
• 401(k) Retirement Plan
• FMLA Leave
• Ongoing Training & Development
• Flexible Work Options (Full-time, Part-time, Contract)
• Career Advancement Opportunities 

With over 45 years of service in the community, Park Place Behavioral Health Care is a trusted leader with stability, flexibility, and purpose.

ABOUT THE ROLE

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.  

SUPERVISORY RESPONSIBILITIES:

N/A

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The duties and responsibilities outlined above are intended to describe the general nature and level of work performed for this role. They are not intended to be an exhaustive list of all tasks, responsibilities, or assignments that may be required or inherent to the position.

• 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.

CORE COMPETENCIES:

• Ability to manage multiple conflicting priorities without loss of composure. 
• Detail oriented with the ability to balance conflicting priorities to manage workflow, ensuring the completion of essential assignments, and meet critical deadlines. 
• Ability to exhibit sound judgment and make reasonable decisions in the absence of direction.
• Ability to provide crisis intervention/stabilization and aggressive behavior management to customers in a safe, culturally sensitive and gender-specific manner.
• Insurance Eligibility and Authorization Management
• Behavioral Health Billing Process
• Medicaid, Medicare, and Commercial Insurance Verification.
• Professional Communication and Telephone Skills

QUALIFICATIONS, EDUCATION AND/OR EXPERIENCE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• High School Diploma 
• Associate's degree in healthcare administration, Business or related field preferred or equivalent work experience in insurance verification, authorizations or behavioral health billing
• Experience working with Electronic Health Record, EHR
• Knowledge of Medicaid, Medicare and Commercial payers' authorization processes preferred.
• Bilingual preferred

REQUIREMENTS: 

• PPBH is a 24/7 Agency.  All employees must be available as needed when required.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position.  While performing the duties of this job, the employee is regularly required to stand, walk, sit, talk, hear, and use hands to finger, handle, or feel objects, tools, or controls. 

The employee must occasionally lift and/or move up to 25 pounds.  Specific vision abilities required by this job include close vision, distance vision, depth perception, and the ability to adjust focus.  

WORK ENVIRONMENT:

The work environment characteristics are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

If this sounds like you, we invite you to apply.  We can’t wait to meet you!

We are an equal opportunity employer, and we are committed to providing equal employment opportunities to all employees and applicants.  We also participate with the Florida Care Provider Background Screening Clearinghouse for all employment backgrounds.  Please refer to this link for more information: https://info.flclearinghouse.com  

If you require reasonable accommodation during the application or interview process, please contact our HR Department at 407-846-0023.