Authorization & Insurance Operations Specialist

CHC Addiction Services; Akron (OH); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

32 paid days off per year

403b with company match

Licensure reimbursement

Training opportunities

Employee Assistance Program

Wellness activities

Staff apparel store

Job summary

CHC Addiction Services in Akron, OH is seeking an Authorization Admin Support Specialist to join our team. This role supports intake and authorization processes to ensure services are properly authorized and billed, helping individuals navigate their insurance benefits.

The ideal candidate will have experience with intake processes, insurance payors, service authorizations, and communicating with insurance companies or MCOs.

Qualifications

• Healthcare intake, insurance verification, or medical billing experience.
• Knowledge of insurance payors and Managed Care Organizations (MCOs).
• Experience communicating with insurance companies or third-party payors.
• Strong attention to detail and ability to accurately track information.
• Excellent written and verbal communication skills.
• Ability to work independently while collaborating with multiple departments.
• Proficiency with Microsoft Office and EHR software.

Responsibilities

• Review and track pending admissions for both facilities.
• Submit NOAs and discharge notifications to insurance carriers.
• Review insurance updates daily and update authorization trackers and master PA logs as needed.
• Review client insurance on Outpatient IOP tracker and check units billed for H0015 with MCOs.
• Communicate insurance changes to relevant departments to ensure coverage continuity and authorization compliance.
• Maintain and update the Master Prior Authorization (PA) List.
• Coordinate with clinical and program staff regarding upcoming authorization due dates.
• Report weekly on financial intakes and assist with audit processes.
• Provide data summaries for leadership and internal reviews.

Skills

Intake processes

Insurance payors

Service authorizations

Communication with payors

Education

High school diploma

Tools

Microsoft Office

Electronic Health Records

Job description

CHC Addiction Services in Akron, OH is seeking an Authorization Admin Support Specialist to join our team. This role supports intake and authorization processes to ensure services are properly authorized and billed, helping individuals navigate their insurance benefits.

The ideal candidate will have experience with intake processes, insurance payors, service authorizations, and communicating with insurance companies or MCOs.