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.
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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 preferred
* 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
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