Residential Admissions and Authorization Specialist

Community and Family Resources; Des Moines (IA); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

IPERS retirement benefit

Optional 401K

Employee Assistance Program

Generous PTO

9 paid holidays

Paid trainings and CEU opportunities

Public Student Loan Forgiveness

Tuition reimbursement

Partner discounts

Job summary

Community and Family Resources seeks a Residential Admissions and Authorization Specialist for our Des Moines residential programs. You will guide clients through admissions and coordinate with clinical and insurance teams to ensure a smooth transition into our facility.

This role requires an associate degree and at least two years in substance use treatment, with preferred CADC certification. Strong communication with referrals and insurance providers is essential.

Qualifications

• Associate degree required.
• Two years of experience in substance use treatment or related field required.
• Experience with insurance billing or prior authorizations preferred.
• Experience with clients who have co-occurring symptoms preferred.
• Current certification as a CADC/CADC/IADC preferred.

Responsibilities

• Communicate with referring agency to determine if a client meets residential requirements.
• Conduct initial interviews and explain the treatment process to clients and referral sources.
• Staff referrals with the Residential Program Supervisor and medical/clinical teams prior to admission.
• Prepare clients for admission with preadmission contact.
• Review client records and insurance benefits to determine need for prior authorization.

Skills

Interviewing clients

Insurance billing

Prior authorizations

Communication with referral sources

Education

Associate degree

CADC/CADC/IADC preferred

Job description

Community and Family Resources is committed to supporting clients at every stage of their recovery journey. For many individuals, the first step begins with entering a residential treatment program. Our Residential Admissions and Authorization Specialist plays a vital role in this process by guiding clients through admissions and ensuring a smooth, welcoming transition into our facility.

We are currently seeking a Residential Admissions and Authorization Specialist to work with our residential programs in our Des Moines region.

Essential Duties and Responsibilities

• Communicate with referring agency to determine if a potential client meets necessary requirements for residential.
• Conduct initial interviews and explain the treatment process with clients and referral sources.
• Staff referrals with the appropriate Residential Program Supervisor, clinical department, and medical department prior to scheduling admission appointment.
• Prepare client for admission by conducting a preadmission phone and/or in-person contact with client.
• Review client records and insurance benefits to determine need for prior authorization.
• Prepare and submit accurate prior authorization requests to insurance companies, including detailed medical documentation to support the need for the service.
• Facilitate new client orientation including providing a copy of the client handbook and tour of facility with the admissions Treatment Specialist from the identified unit in which the client will be placed.
• Track authorization requests and follow up with insurance companies as needed to check on status of pending authorizations.
• Review denial notifications, identify reason for denial, and work with providers to appeal or resubmit authorization requests with additional supporting documentation.
• Completion of the PHQ9, DG SBIRT Screening and coordinating care with the appropriate department.
• Provide clients/families with referral sources for services unavailable within the agency or when agency services are inappropriate.
• Participate in intra-agency staffing to determine needed services and appropriate modes of treatment.
• Assist clients in completion of necessary assessment forms/documents and appropriate releases.
• Prepare and distribute assessment results, reports, etc. as required and requested.

Schedule

• Type: Full-Time
• Hours: Monday-Friday, 9a-5p

Education and Experience Qualifications

• A minimum of associate’s degree is required.
• A minimum of 2 years of experience in substance use treatment or related field is required.
• Experience with insurance billing or prior authorizations is strongly preferred.
• Experience working with persons experiencing co-occurring symptoms is preferred.
• Current certification as a Certified Alcohol and Drug Counselor (tCADC, CADC, or IADC) through the Iowa Board of Certification is preferred.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• IPERS retirement benefit
• Optional 401K
• Employee Assistance Program
• Generous PTO (20 days accrued in your first year)
• 9 paid holidays
• Paid trainings and CEU opportunities
• Public Student Loan Forgiveness employer
• Tuition reimbursement
• Various discounts including tuition fees at partner schools, travel, cell phone plans, and more!

Application Process

Candidates interested in applying should submit an application and resume. Candidates will be required to complete a background check, drug screen, and TB test prior to starting employment.

Equal Opportunity Employer

Community and Family Resources is an Equal Opportunity Employer, including Veterans and Individuals with Disabilities.