Utilization Management Specialist

Mosaic Pediatric Therapy; United States; On-site; USD 40,000 - 60,000; Full time

Job summary

Mosaic Pediatric Therapy in the Southeast region is a values-driven ABA therapy provider dedicated to helping children with autism. We are top-ranked for employee and client family satisfaction and foster a positive culture for our team.

We are seeking an Utilization Management Specialist who will establish professional contact for clients entering ABA therapy and for current clients; responsible for authorizations, benefits and clinic support, intake processing, and coordination with clinics

Qualifications

• Bachelor’s degree required; self-motivated with strong communication.
• Experience with EMR systems and HIPAA compliance is preferred.
• Excellent organizational and multitasking abilities for intake workflows.

Responsibilities

• Handle authorizations, benefits, and clinic support for new and existing clients.
• Coordinate intake meetings and maintain accurate documentation.
• Verify eligibility, obtain and process authorizations, and monitor space and providers.
• Communicate effectively with clinics, providers, and client families.

Skills

Organization

Problem-solving

EMR experience

HIPAA knowledge

Interpersonal skills

Time management

Office tools

Data entry

Coordination

Documentation

Education

Bachelor’s Degree

Tools

Central Reach EMR

Microsoft Office

Gmail/Google Workspace

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 Responsibilites:

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

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.