AUTHORIZATION SPECIALIST

Region Ten Community Services Board; Charlottesville (VA); On-site; USD 26,000 - 39,000; Full time

Job summary

Region Ten Community Services Board seeks an Authorization Specialist, Accounting in Charlottesville to manage service authorizations with insurance providers, ensuring timely approvals for clients. The role requires knowledge of DMAS/Medicaid, third-party billing, and related eligibility criteria, along with strong communication and data-management skills.

The position is full-time, non-exempt under FLSA, and based at 110 Avon Street, Charlottesville, VA 22902, reporting to the Fiscal Access

Qualifications

• Knowledge of: third party billing, the service authorization process, DMAS/Medicaid eligibility criteria, working knowledge of mental illness, substance abuse, intellectual disability.

Responsibilities

• Request service authorizations from insurance companies in a timely manner.

Skills

Verbal communication

Written communication

Online authorization

Credible proficiency

Problem solving

Data management

Record-keeping

Math

Office equipment

Data entry

Customer service

Interpersonal skills

Education

High School Diploma

Job description

AUTHORIZATION SPECIALIST, ACCOUNTING - CHARLOTTESVILLE (FULL TIME)

Req# 134

Job Title: AUTHORIZATION SPECIALIST, ACCOUNTING

GENERAL STATEMENT OF RESPONSIBILITIES

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. In this capacity, he/she has primary responsibilities 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 by proceeding alone under standard practices and referring questionable situations to the supervisor. Standard practices allow for the independent accomplishments of recurring tasks and use of own initiative for prioritizing the work schedule. Work includes ad hoc problem solving around assigned tasks. In carrying out position duties, he/she performs in accordance with applicable professional ethics and established Region Ten policies. Position performance requires analysis of facts and determining action using a wide range of procedures but within the limits of standard practice. Duties require planning own work after definite objectives set by the supervisor with unusual situations referred to the supervisor.

QUALIFICATIONS

EDUCATION

High School Diploma Required

KSAS

Knowledge of: third party billing, the service authorization process, DMAS/Medicaid eligibility criteria, working knowledge of mental illness, substance abuse, intellectual disability.

Skills in

Skills in: 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 to

Abilities to: 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, analyzing data for patterns and trends; medical necessity, 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