Authorization Accounting Technician

AUTHORIZATION SPECIALIST, ACCOUNTING - CHARLOTTESVILLE (FULL TIME)This is a FLSA non‑exempt position. The incumbent serves as administrative staff with specialized responsibilities for the Financial Access Department of the Administrative Division and is responsible for requesting service authorizations to various insurance companies in a timely manner to obtain approval for the agency to provide service to clients.The incumbent is under the direct supervision of the Fiscal Access Program Manager. The incumbent performs duties independently under standard practices and refers questionable situations to the supervisor. Work includes ad‑hoc problem solving around assigned tasks and requires analysis of facts and determination of action using a wide range of procedures within the limits of standard practice.Major DutiesRequest and obtain service authorizations from various insurance companies, using fax, internet, and/or phone to submit requisite clinical information to payers for review.Effectively respond to insurance companies' time‑sensitive requests for additional information to maximize agency's service approvals.Accurate and timely data entry of authorization approvals into Credible once obtained from insurance companies.Assist clinicians in tracking and/or updating external authorizations by providing information to clinicians in a timely manner.Issue service limit and/or date expiration warnings to staff and management notifying them of over and/or under‑utilization.Manage clinicians' internal requests for submitting authorizations.Notify supervisor of issues related to clinicians' requests and/or insurance companies.Notify supervisor of any changes to payer rules and/or procedures noticed while submitting requests.Collaborate with other agency staff and functions to assure accurate reimbursement‑related data entry.Perform general secretarial duties as they relate to the authorization request process (i.e., copying, typing, faxing, and filing).Read all agency communication.Perform other duties and special projects as assigned by the supervisor.QualificationsEducation: High School Diploma Required.Knowledge: third‑party billing, the service authorization process, DMAS/Medicaid eligibility criteria, working knowledge of mental illness, substance abuse, intellectual disability.Skills: verbal and written communication; online authorization submission, proficiency with relevant screens of Credible; problem solving; computer and data management; basic record‑keeping; math; use of office equipment; data entry; customer service; interpersonal relations.Abilities: collect information on third‑party payer(s) and others regarding benefits, reimbursement requirements, and authorization procedure; comprehend and maintain knowledge of principles, practices, and methods of treatment modalities; analyze data for patterns and trends; assess medical necessity and levels of care; be organized, efficient and accurate; communicate effectively with a wide variety of individuals; be decisive and think quickly; work well under pressure; prioritize work and provide coverage in each of the functional areas; be client‑centered/customer‑oriented; work with both external and internal customers.Grade: 8. Hourly Pay Range: $19.11 – $28.66.Schedule: Full Time.Location: 110 Avon Street, Charlottesville, VA 22902.#J-18808-Ljbffr