Weekend Authorization Specialist


Job Details

Job Type

Part-time

Description

Isaiah House is a faith-based, nonprofit with a competitive edge, delivering one of the most effective substance use disorder treatment facilities in the state of KY.

Employees receive benefits that include:

  • Medical, dental, and vision insurance
  • Basic life insurance at NO COST to you
  • 401(k) matching
  • Paid holidays
  • Weekly payday
  • The joy and satisfaction of working for a company with a higher purpose!

Apply now to join our team and make a difference in the lives of others!

JOB SPECIFIC FUNCTIONS:
  • Verify insurance eligibility and benefits
  • Maintain up-to-date authorization-related information in Authorizations Manual
  • Submit, follow up and reconcile all initial and concurrent authorizations per payer guides
  • Notify internal teams and organize Peer to Peer upon receipt of denial
  • Submit completed discharge summaries to payers within 48 hours of discharge
  • Work independently to complete all assigned daily tasks
  • Assist with weekly eligibility report as needed
  • Report any trending internal or external issues to Authorizations Manager
  • Comply with all state and federal guidelines
  • Maintain strict confidentiality guidelines
  • Attend any and all necessary meetings
  • Contribute to the achievement of the mission and philosophy of Isaiah House


Requirements

  • High school diploma or GED
  • Familiarity with ICD-10-CM, DSM-V, CPT/HCPCs, substance abuse and behavioral health treatment.
  • Willingness to obtain and maintain proficiency in Isaiah House policy, procedures, and programs.
  • Knowledge of various web browsers, electronic health records/payment management systems, Excel, Word, Outlook, and various provider portals - Availity,KYMMIS, etc.





 Isaiah House

 06/15/2024

 Harrodsburg,KY