AUTHORIZATION SPECIALIST

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.

Please see full job description for list of full duties and responsibilities.

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: 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: 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

Position : 000001600

Location : 500 OLD LYNCHBURG RD

Details : Job Description

SALARY RANGE: $19.11-$28.66