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North Suffolk Mental Health Association

Location: ChelseaMA 02150 Document ID: AC443-5JUU Posted on: 2019-01-1801/18/2019 Job Type: Full-time

Job Schedule:Full-time
2019-02-17
 

Accounts Receivable: Third-Party Authorization Coordinator Position

Jump start your career in Accounts Receivable! NSMHA is looking for a detail-oriented, organized professional to join our team as the Third-Party Authorization Coordinator. The Coordinator is responsible for the monitoring, coordination, reporting and timely submission of all prior authorization requests for the Agency's four mental health clinics.

RESPONSIBILITIES:
  • Monitor and track clinics' initial and extended authorizations for date and unit/session exhaustion.
  • Run AR Plus authorization reports no less than twice weekly to monitor and request authorizations from third party funders.
  • Confirm authorization receipt with online insurances.
  • Enter authorizations into AR Plus system. Ensure that all visits are properly linked to calculate correctly.
  • Run Status 13 reports weekly as double check against visits without authorization.
  • Prepare, track and submit weekly staff non-compliant report to clinical managers, AR Director, and Director of Operations for clinician follow up
  • Monitor and support CSA, CSP and Day Treatment authorization processes during approved absences.
  • Keep abreast of all funder authorization requirements and revisions. Distribute changes to appropriate parties.
  • Responsible for improving and maintaining denials for authorization issues, keeping the write off percentages under 1% for the clinics and reporting reasons for any increases to AR Director.
  • Responsible for all follow-up authorization procedures in order to maximize collection.

POSITION REQUIREMENTS:

Education: High School Diploma or GED required. Moderate knowledge of third party insurances, billing, collection and authorization processes.

Experience: Third party billing experience dealing with insurance company's requirements for billing/collection and/or direct prior authorization experience required. Moderate knowledge of third party insurances, billing, collection and authorization processes.

Skills: Highly organized and detail oriented with proven ability to set and meet deadlines and goals. Experience with excel required.
 
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