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Authorization Specialist - Clinical

HALLMARK YOUTHCARE RICHMOND INC

Authorization Specialist - Clinical

Richmond, VA
Full Time
Paid
  • Responsibilities

    As a leading Residential Treatment Center in the Greater Richmond area, Hallmark Youthcare treats adolescents with emotional and behavioral issues triggered by trauma. Treatment is provided in a warm and friendly environment by a group of well-trained, highly motivated staff that takes pride in delivering quality care. 

    We are currently accepting applications for an AUTHORIZATION SPECIALIST to communicate clinical mental health information to managed care/insurance companies and payer services to obtain authorization for treatment services. Candidates must be familiar with admissions pre-certification process as well as concurrent and discharge reviews. Extensive knowledge of medical terminology, substance abuse and mental health disorders, DMS criteria and ICD-10 diagnosis codes is necessary for the success of this position.

    QUALIFICATIONS/EXPERIENCE:

    • Associates degree or higher in mental health or related field from accredited college or university, strongly preferred.
    • Minimum of three years of varied professional clinical experience in mental health services with adolescents.

    REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:

    • Competency in healthcare information technology
    • Proficient in MS Office/Excel/PowerPoint/Outlook
    • Able to interpret both CMS, DMAS and Virginia State Licensing standards for documentation.
    • Demonstrated clinical competence in documentation of resident progress.
    • Must be self-directed, flexible and cooperative in fulfilling role obligation.
    • Skilled in auditing records.
    • Excellent verbal and written communication skills with individuals and groups; competent in writing routine reports and correspondence; excellent telephone etiquette.
    • Strong organizational and time management skills.

    PLEASE NOTE: THIS FACILITY COMPLIES WITH THE CMS OMNIBUS COVID-19 HEALTH CARE STAFF VACCINATION REQUIREMENT. COVID-19 VACCINATION IS REQUIRED FOR THIS POSITION.