What are the responsibilities and job description for the Authorization Specialist position at Southwest Autism Research and Resource Center?
Phoenix, AZ
At SARRC, we are dedicated to advancing research and providing support for individuals with autism and their families. We are looking for a detail-oriented Authorization Specialist who thrives on precision and plays a critical role in ensuring our clients receive the services they need through seamless funding management.
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Authorization Management: Obtain initial authorizations, manage reauthorizations, and handle necessary adjustments to ensure continuous care for our clients. Verifies, monitors, and assist with insurance verification as needed to ensure payment for services.
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Funding Advocacy: Navigate complex insurance landscapes and provide essential support in managing and resolving claim denials.
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Quality Assurance: Identify errors in funding documentation and implement corrections to maintain the highest standards of record accuracy.
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Data Integrity: Ensure all client funding information is documented accurately and within required timelines to prevent billing delays.
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Expert Knowledge of Funding Sources: Deep understanding of insurance providers, clinical funding requirements, and the authorization lifecycle.
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Analytical Precision: A "hawk-eye" for detail with the ability to spot discrepancies in complex data and rectify them quickly.
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Proactive Problem Solving: The ability to troubleshoot denials and navigate the nuances of insurance appeals and adjustments.
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Organization amp; Timing: Exceptional time-management skills to meet strict deadlines for reauthorizations and documentation.
Experience amp; Qualifications
- High School diploma or GED
- Minimum of two (2) years of experience in a medical billing environment within a medically specialized enterprise.
- Knowledge of insurance guidelines; including Medicare, HMO, PPO, Behavioral Health carve-outs, Arizona Medicaid (AHCCCS) and EAP services.
- Knowledge of CPT, ICD-10, HCPCS coding.
- Associates Degree preferred (years of experience may be considered).
- Three (3) and more years of experience preferred.
- Knowledge of diagnostic testing, medical terminology, and Behavior Analytic treatment for individuals with Autism Spectrum Disorder.
- Knowledge of ABA CPT codes is preferred.
Salary
Higher compensations tiers offered depending on experience.
Hours of operations: 8:00am - 5:00pm
- Up to 16 days per year paid time off and 8 paid holidays
- Medical, dental and vision insurance (majority of coverage paid for by SARRC)
- 401(k) with 50% company match up to 6%
- Internal job growth opportunities
- Professional development annual benefit of $1000