Prior Authorizations Specialist

DeCoach Recovery Centre; Cincinnati (OH); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, Dental and Vision Benefits

Company Matched 401(k) plan

Tuition Reimbursement

STAR Eligible Facilities to Assistwith

Job summary

DeCoach Recovery Centre is hiring a Prior Authorizations Specialist to manage insurance approvals before treatment or medications. The role is based at our Sharonville Headquarters in Cincinnati and involves reviewing clinical documentation, submitting requests, and communicating with providers and payers to ensure coverage requirements are met.

Minimum qualifications include a high school diploma (associate or bachelor’s preferred) and at least 2 years in prior authorizations or revenue cycle,

Qualifications

• High school diploma or equivalent; associate or bachelor's degree preferred.
• Minimum of 2 years experience in prior authorizations or in a revenue cycle role
• Excellent communication and negotiation skills.
• Proficiency with technology including Microsoft Office Suite.

Responsibilities

• Verify patient eligibility and coverage limits
• Review medical charts to ensure clinical notes match what insurance requires
• Send requests for prior approval to insurance providers
• Track pending cases and follow up with insurance agents

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Prior Authorizations Specialist

Full Time Cincinnati, OH, US

9 days ago Requisition ID: 1980

DeCoach Recovery is a leading addiction treatment center dedicated to providing compassionate care and effective solutions for individuals battling addiction. We take the time with every client to understand their needs and where they are on their recovery journey to help them not only reach sobriety, but to stay sober long-term.

We are currently hiring for a prior authorization specialist to work at our Sharonville Headquarters. You will be responsible for obtaining necessary approvals from insurance providers prior to patients starting treatment or medications. You will review clinical documentation, submit authorization requests, and communicate with healthcare providers and payers to ensure coverage requirements are met. The role includes tracking requests, resolving issues and denials, and mai

Minimum Qualifications:

• High school diploma or equivalent; associate or bachelor's degree preferred.
• Minimum of 2 years experience in prior authorizations or in a revenue cycle role
• Excellent communication and negotiation skills.
• Proficiency with technology including Microsoft Office Suite

Responsibilities:

• Verify patient eligibility and coverage limits
• Review medical charts to ensure clinical notes match what insurance requires
• Send requests for prior approval to insurance providers
• Track pending cases and follow up with insurance agents

• Medical, Dental and Vision Benefits
• A Company Matched 401(k) plan
• Tuition Reimbursement
• STAR Eligible Facilities to Assist with Student Loan Forgiveness