Utilization Management Specialist

Socket.dev; Charlotte (NC); On-site; USD 55,000 - 75,000; Full time

Job summary

Socket.dev is seeking a dedicated Utilization Management Specialist to support ABA therapy intake and ongoing treatment for children with autism. This role focuses on authorizations, benefits verification, and clinic coordination to ensure smooth access to services.

The ideal candidate will have a Bachelor's degree, strong organizational and interpersonal skills, and a passion for helping children with ABA therapy. Experience with HIPAA and common EMR tools is preferred.

Qualifications

• Bachelor’s degree required.
• Self-motivated with energy and strong communication.
• Passion for helping children with autism through ABA.
• Strong time management and organization.

Responsibilities

• Conduct authorizations, benefits and clinic support for intake and current clients.
• Coordinate process flow with clinics and providers.
• Maintain accurate documentation of service requests, testing, referrals and authorizations.
• Oversee receipt of authorizations and creation of accurate authorizations in the operating system.
• Actively participate in Intake meetings and collaborate with providers.
• Complete authorization renewals.
• Verify client eligibility weekly.

Skills

Bachelor's Degree

Self-motivated

Communication skills

Time management

HIPAA knowledge

Education

Bachelor’s Degree

Tools

Central Reach

Microsoft Office

Job description

The Southeast's Premier ABA Therapy Provider for Children with Autism, We are a values-driven company and are dedicated to providing world-class ABA therapy services to our early childhood patients while promoting a positive and supportive culture for our team members.Top 5% nationally in employee satisfaction! Top 3% nationally in client family satisfaction!

The Utilization Management Specialist is responsible for establishing a professional and supportive contact for clients seeking to enter ABA therapy and for current clients receiving ABA services.

Primary Responsibilities:

Conducting authorizations, benefits and clinic support for new intake and current clients.

Preferred Skills and Knowledge:

• Excellent organization and problem-solving skills
• Experience using electronic medical record applications (Central Reach preferred).
• Working knowledge of HIPAA regulations
• Excellent interpersonal skills, good oral and written communication skills
• Good organization and time management skills
• Must have good working knowledge of Microsoft Office or Gmail office tools (Word, Excel, PowerPoint)
• Verify client information and benefits
• Email Intake packets for new clients and monitor receipt
• Enter accurate demographic, benefit, and authorization information for clients into operating system
• Request Financial Agreements from Client Accounts
• Monitor availability of clinic space and providers
• Coordinate process flow with clinics and providers
• Maintain accurate documentation of service requests, testing, referrals and authorizations
• Oversee receipt of authorizations and creation of accurate authorizations in operating system
• Actively participate in Intake meetings and collaborate with providers and clinics for best Intake practices
• Complete authorization renewals
• Verify client eligibility weekly
• Other duties as assigned by the intake manager

Education and Experience:

• Bachelor’s Degree
• Must be self motivated, driven, bring energy and good communication skills
• Must convey a sense of passion about helping children with autism through ABA therapy
• Time management and organization