Service Authorization Technician
Company: Comhar Inc.
Location: Philadelphia
Posted on: October 12, 2024
Job Description:
Description:***Effective October 15, 2021, all
employees/contractors/interns/volunteers are required to provide
our office with proof of COVID vaccination.***
Service Authorization Technician Job Summary:Monday-Friday:
8:00AM-4:30PM with One (1) Day WFH
Service Authorization Technician Salary:$37,440.00 ($18.00/HR)
COMHAR's Intensive Behavioral Health Services (IBHS) is located in
the Philadelphia are. IBHS support children, youth, and young
adults with mental, emotional, and behavioral health needs.
Services are provide to children, youth, and young adults across
all settings (at the home, school, and community settings) in order
to both help them reduce and/or replace problem behaviors with more
positive, socially appropriate behaviors, with the highest priority
placed on family engagement throughout the process.
Service Authorization Technician Job Summary: The Service
Authorization Tech reports to the Office Manager of Children's
Services. The Service Authorization Tech will be responsible for
admitting clients by gathering and recording provider, client, and
insurance information. The Service Authorization Tech oversee
preauthorization and referrals process for the IBHS program.
Reporting to the Office Manager, this position's primary
responsibility is ensuring that billing authorizations are uploaded
from CBH and correctly inputted into EVOLV.
Duties and Responsibilities
- Improve the proficiency of receiving and correcting
authorizations for services.
- Other duties reasonable and related to this position as
directed by related supervisors.
Admissions/Prior Authorization Specialist Job Duties:
- Process client admissions.
- Track Discharges and submits to CBH to end any active
authorizations.
- Pre-admits clients by receiving referrals from a number of
sources, entering client information into the referral module in
Evolv.
- Run initial eligibility through Promise for client.
- Secures payments by screening insurance information;
identifying clients requiring pre-admission approvals from
third-party payers; verifying approvals.
- Uploading and Downloading CBH authorizations.
- Developing and monitoring authorization reports that are
reviewed with Office Manager. Monitors the authorization process of
both individual and aggregate cases.
- Tracking and correcting authorizations for proper length and
number of units. Meet weekly with CBH Care Manager to discuss
authorization correction list.
- Documenting to ensure that the service hours & units match what
was requested.
- Process contractor and temp agencies invoices.
- Ensures a responsive system for authorization of services and
payment of claims by monitoring the COMHAR billing system for laps
in service as well as rejections and error logs.
Major Duties/Essential functions:
- Downloading and uploading of CBH authorizations.
- Processing of referrals.
- Processing invoices.
- Ensuring client eligibility.
- E-mail assigned staff and case managers about their clients
'evaluation appointments.
Periodic Duties:
- Responsible for identifying alternative sites needed for
expansion of services.
- Identifying possible requests for proposal and discuss these
RFPs with Division Director of Children Services.
- Responsible for coordination of medical records storage.
- Will oversee the departments' training needs, including
tracking and monitoring.
Skill Requirements
- Excellent mathematical skills.
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills
- Proficient in Microsoft Office Suite or related software.
- Type 45-55 wpm
- Excellent organizational skills and attention to detail.
- Ability to read and write in both English and Spanish.
- Basic understanding of clerical procedures and systems such as
recordkeeping and filing
- Ability to work independently.
- Ability to apply common sense and understanding to carry out
instructions furnished in written, oral, or diagram dorm.
- Ability to deal with problems involving several concreate
variables in standardized situations.
- Project a positive, accommodating demeanor and a customer
satisfaction-focused mindset.
- Demonstrate the capability and willingness to learn and
implement new and ongoing processes.
- Exercises sound judgment in carrying out daily activities and
managing any issues which arise.
- Able to competently utilize Microsoft Office Suite, email, EHR,
and technology used in the course of job duties.
- Strong commitment to providing quality services to
members.Requirements:Service Authorization Technician Requirement:
- High school diploma or GED
- 2 years' experience in an office setting
- Proficient with Microsoft office software
- Understanding of basic accounting, and personnel
management.
- Experience with billing and insurance
- Knowledgeable with EHR SystemsWe are proud to be an EEO
employer M/F/D/V. We maintain a drug-free workplace. COMHAR, Inc.
is a not-for-profit community based health and human service
organization founded in 1975. We do not discriminate in services or
employment on the basis of race, color, religion, ancestry,
national origin, sex, sexual orientation, gender identity, age,
disability, past or present receipt of disability-related services
or supports, marital status, veteran status, or any other class of
persons protected by federal, state or local law.
Compensation details: 37440-37440 Yearly Salary
PIfaad39332e7a-37248-35255615
Keywords: Comhar Inc., Reading , Service Authorization Technician, Professions , Philadelphia, Pennsylvania
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