Authorization and Compliance Coordinator

CommQuest Services Inc; Canton (OH); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Mental Health days

10 paid holidays

Retirement plan with company match

Medical, Dental, and Vision plans

CEU/Licensure reimbursement

Job summary

CommQuest Services Inc. in Downtown Canton, OH, seeks a full-time Authorization and Compliance Coordinator to join our Compliance Department.

You will ensure client documentation is complete for insurance authorizations, process payer approvals, and support regulatory compliance reporting. This role collaborates across departments to maintain records, meet requirements, and improve efficiency so clients receive appropriate coverage and services; strong attention to detail and knowledge of HIPAA

Qualifications

• High School Diploma or GED required.
• Associate's degree or coursework in behavioral health/healthcare preferred.
• Experience in healthcare, behavioral health, or social services preferred.

Responsibilities

• Process Insurance Authorizations.
• Documentation Audits.
• Support Compliance Team Operations.
• Other duties as assigned.

Skills

Attention to detail

Organizational skills

Communication

Teamwork

Problem-solving

Adaptability

Trauma-informed approach

Professionalism

Education

High School Diploma or GED

Associate's degree or coursework in behavioral health/healthcare

Tools

NextGen EHR

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Authorization and Compliance Coordinator

Real-world impact. Life-changing outcomes.

CommQuest seeks a full-time Authorization and Compliance Coordinator to work in our Compliance Department located in Downtown Canton, OH. The Authorization and Compliance Coordinator ensures client documentation is complete for insurance authorizations, processes and tracks payer approvals, and supports compliance reporting and administrative functions. The role works across departments to maintain accurate records, meet insurance and regulatory requirements, support performance benchmarks, and improve operational efficiency so clients receive appropriate coverage and services.

In this role, you will:

• Share CommQuest's mission
• Build valuable relationships with clients, visitors, volunteers, and staff
• Be an ambassador for our services and a critical member of the team
• Make a real difference addressing the mental health needs in our community

What is CommQuest?

CommQuest Services is one of the largest non-profit mental health, addiction recovery, and social services organizations in Northeast Ohio, working with clients from more than 34 counties in 12 facilities through more than 20 programs. We help people make positive changes in their lives through in-patient, outpatient and school-based programs, along with supportive services – from basic needs to employment assistance.

What you gain:

• Relationships within the organization and in the mental health community
• Visibility into how our community supports those in need
• Opportunities to share your expertise
• Peace of mind knowing you are benefiting the clients we serve and the community at large

What you'll do:

• Process Insurance Authorizations
• Documentation Audits
• Support Compliance Team Operations
• Other duties as assigned

Schedule:

The work schedule is Dayshift, Monday - Friday, ability to select schedule between 6:00 AM - 8:00 PM (some flex), 2-day hybrid available after successful completion of 90-days and/or business needs.

Minimum Qualifications:

• High School Diploma or GED required.Associate's degree or college coursework in behavioral health or healthcare preferred.
• Experience in a healthcare, behavioral health, or social services setting preferred.

Technical Skills:Proficiency in Microsoft Office, particularly Outlook, Word, and Excel; experience with EHR systems (NextGen preferred); knowledge of insurance authorizations, payer requirements, HIPAA, and confidentiality regulations; and strong data-entry skills with the ability to manage compliance documentation and navigate online portals and fax systems
Soft Skills:Exceptional attention to detail and organizational skills are essential, along with strong communication, teamwork, and problem-solving abilities. Must be adaptable, able to manage competing priorities and tight deadlines in a fast-paced environment, and demonstrate professionalism and trauma-informed interactions with clients and staff.

Full-Time Benefits:

• Generous time off, including Mental Health days
• 10 paid holidays annually
• Retirement plan with company match
• Medical, Dental, and Vision plans
• CEU/Licensure reimbursement and more!

We are an equal opportunity employer. All applicants will be considered for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.