Behavioral Health, Cross-Functional, Durable Medical Equipment, Healthcare, Managed Care, Microsoft Excel, Microsoft Outlook, Microsoft SharePoint, Microsoft Word, Multitasking, Organizational Skills, Social Work
Location: 100% Remote - TX SHIFT: Mon - Fri 8:00 am 5:00 pm, OT depends on business needs Duration: 6 months contract Description: Job Profile Summary: The Specialty Authorization Team consists of the processing of authorizations and follow-ups for DME, MHM, DAHS, and reductions/denials in which we are now at a 1 Client TAT for the processing of SK/SH/MMP authorizations. We utilize project temps/contingent workers to assist with each of these areas as well as cross train them to be able to assist in multiple functions. The team continues to experience high authorization volumes. Responsibilities: Daily check in & communication via group IM(s) Daily production logs must be completed and emailed to designated people no later than 9am next business day Multi-tasking with multiple monitors and applications Utilize work guides and or resources 97% Quality (Audits) 98% Production 0-5% Error Rate Candidate Requirements Education/Certification Required: Bachelors degree in social work, Health Services, Behavioral Science, or related field, or equivalent experience (2+years) in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions. Preferred: Licensure Required: LPN, LVN, or LCSW preferred. License is the most important. Preferred: Must haves: Nice to haves: LPN, LVN, or LCSW preferred. License is the most important. Disqualifiers: No license Top 3 must-have hard skills stack-ranked by importance 1 2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions. 2 Microsoft Outlook, Microsoft Teams, Zoom, Microsoft Word, Microsoft Excel, SharePoint, Internet 3A
Axelon Services Corporation