Authorization and Benefits Representative

  • $17.00 - $18.00/hour
  • Position Summary: Inform potential clients about ABA benefits, submitting initial assessment authorizations, and ongoing ABA Therapy authorizations. This representative will work side by side with Regional Directors & Intake team to fulfill Consultants caseloads. This position's main responsibility is to ensure ABA is a covered benefit and ABS will be reimbursed by ensuring that the client is covered with an authorization. 

    Essential Duties & Expectations:
    • Understands and explains to clients what their Insurance policy covers and what process and documents we have to have in order to authorize and service ABA.
    • Resolves customer complaints via phone or email. 
    • Compliance in CR software to “task” Consultants when re-authorizations are due
    • Verifying Medicaid eligibility monthly and working with families and Consultants to hold therapy if applicable (Medicaid ineligible)
    • Obtain benefits and authorization for commercial payors 
    • Adding codes to electronic health records system once authorization is obtained for converting and billing purposes
    • Problem solving when Behavior Interventionists and Consultants are unable to convert time sheets 
    Skills:
    • Critical thinking
    • Interpersonal skills
    • Communication skills
    • Ability to Multitask
    • High attention to detail
    • Computer literacy skills including Microsoft Office and Google
    Education and experience: 
    • High school diploma or GED
    • 2 years of Customer Service Skills
    •  Billing or Coding degree or relevant field
    • A minimum of 2 years experience in Medical Billing or Authorizations Dept
    • Solid understanding of Billing software 
    • Simple math requirements 
    • Google Drive & Google Spreadsheet knowledge 

    Physical Demands:

    • Sit at computer desk for up to eight hours. 
    • View computer screen for up to eight hours. 
    • Type, listen, and talk for up to eight hours. 
    • Some standing, walking, reaching, bending and lifting objects up to seventy pounds may be required.
     
    About our Company 
     
    Alternative Behavior Strategies (ABS) is dedicated to improving the lives of children with Autism Spectrum Disorder. We take pride in our stellar support for providers, so they can do what they do best – deliver the highest quality treatment to our patients. Our commitment to quality shows in our BHCOE awards for top 10% in overall services nationally and best in staff satisfaction! Visit www.abskids.com to learn more about us.
     
     At ABS we celebrate diversity and we thrive on it for the benefit of our employees and our community. ABS is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. 

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