Are you interested in working with a company that values people and has a passion for service? Do you want to become part of an organization that cares about your personal and professional growth? If you have answered YES to these questions, then you should consider working for Pathways and Children’s Behavioral Health!

Children’s Behavioral Health (CBH) specialize in providing direct services and case management to children, adolescents and adults with behavioral and medical health needs, as well as those supervised by government subsidized programs, in their homes or through community-based resources. Pathways offers a full spectrum of social service and behavioral health solutions, including Youth & Family Services, Adult Services, and Prevention Services. Within each area, clients have access to a broad range of social and behavioral services to meet their needs.

SUMMARY

Authorization Specialist – Full Time

The person in this position is responsible for performing work duties essential to ensure accurate verification of Autism Benefits, and entering of authorizations. Assignments are varied in nature and are performed under the direction of the Authorization/Data Entry Department Supervisor

ESSENTIAL DUTIES AND RESPONSIBILITIES

Verification of Autism Benefits including identifying authorization process with appropriate office.

Entry of patient demographics, financial responsibility, diagnosis and authorizations for assigned lines of business.

Maintains detailed records as required.

Interacts with staff, payers, and agencies to answer questions, obtain information, and resolve issues.

Recognizes problem accounts and notify appropriate staff or supervisor to assist in problem resolution.

Participates in the training of new staff members.

Attends and participates in payor meetings/seminars as needed.

Maintains open, positive, cordial, team-oriented lines of communication with Authorization/Data Entry Supervisor and other staff members.

Contributes to the Authorization/Data Entry Department team through positive attitude, respectful interaction, innovative ideas, efficiency, and ethical behavior.

Performs related work as required.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISORY RESPONSIBILITIES

None Required

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually minimal.

TRAVEL

This position requires minimal travel.

REQUIRED EDUCATION AND/OR EXPERIENCE

Technical training from an accredited program in medical office procedures which include billing and coding with at least two years of related work experience or; any combination of training and experience which provide the knowledge, skills, and abilities required of the position.

Must have PA Criminal, PA Child Abuse and FBI Clearances

PREFERRED EDUCATION AND EXPERIENCE

Computer skills with billing software, Microsoft Excel, and key-boarding skills.

CERTIFICATES, LICENSES, REGISTRATIONS

None required

QUALIFICATIONS

Language Skills

Ability to read, analyze, and interpret financial documents. Ability to respond effectively when problems arise. Ability to clearly communicate operations within the department.

Mathematical Skills

Ability to apply basic mathematical skills. Ability to apply mathematical operations as related to finances.

Reasoning Ability

Ability to define problems, collect data, establish facts, and draw valid conclusions.

ADDITIONAL ELIGIBILITY QUALIFICATIONS

Ability to analyze complex issues and make good decisions.

Ability to communicate effectively both orally and in writing.

Ability to follow schedules and meet established deadlines.

Ability to maintain confidentiality in all client related matters at all times.

Ability to organize and plan in a methodical systematic approach.

Ability to establish and maintain effective working relationships with other employees.

Children's Behavioral Health is committed to creating the best possible work environment for our team members and offers the following total rewards package:

Competitive Salary

Paid Time Off (PTO)

Holidays

Medical, Dental, Vision including a Health Savings Account

Health, Dependent and Transportation Flexible Spending Accounts

Basic and Optional Life Insurance for Employee, Spouse and/or Dependents

401k Match – 50% of the first 6% of eligible compensation up to an annual maximum of $750

Training, Development and Continuing Education Credits for licensure requirements

Opportunities for advancement! As we grow, you grow with us!

Children's Behavioral Health is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.