Utilization Management Specialist

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.

Primary Responsibilites: Conducting authorizations, benefits and clinic support for new intake and current clients.

Preferred Skills and Knowledge: -

Excellent organization and problem-solving skills

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Experience using electronic medical record applications (Central Reach preferred).

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Working knowledge of HIPAA regulations

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Excellent interpersonal skills, good oral and written communication skills

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Good organization and time management skills

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Must have good working knowledge of Microsoft Office or Gmail office tools (Word, Excel, PowerPoint)

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Verify client information and benefits

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Email Intake packets for new clients and monitor receipt

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Enter accurate demographic, benefit, and authorization information for clients into operating system

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Request Financial Agreements from Client Accounts

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Monitor availability of clinic space and providers

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Coordinate process flow with clinics and providers

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Maintain accurate documentation of service requests, testing, referrals and authorizations

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Oversee receipt of authorizations and creation of accurate authorizations in operating system

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Actively participate in Intake meetings and collaborate with providers and clinics for best Intake practices

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Complete authorization renewals

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Verify client eligibility weekly

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Other duties as assigned by the intake manager

Education and Experience: -

Bachelor’s Degree

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Must be self motivated, driven, bring energy and good communication skills

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Must convey a sense of passion about helping children with autism through ABA therapy

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Time management and organization