- The Admissions Specialist supports staff in managing authorization-related issues and ensures timely paperwork and clinical documentation submission.
- Process Adherence: Adhere to established processes and procedures set forth by Central Business Operations leadership to maintain a standardized and efficient referral process.
- Referral Management: Process all incoming agency referrals and ensure accurate information is associated with each client entry. This includes assisting clients in scheduling intake appointments ensuring a smooth and efficient intake process.
- Authorization Monitoring: Submit any initial authorizations and monitor all existing authorizations via Electronic Health Record reporting and payer portals for all programs to ensure service coverage for reimbursement.
- Authorization Follow-Up: Follow up with relevant payers if the initial or reauthorization approval needs to be corrected or amended.
- Staff Notification: Keep regular correspondence with direct care staff and leadership regarding authorization issues, including notification of authorization approvals, denials, and near exhaustion/exhaustion.
- Recording: Continuously update the Electronic Health Record with pertinent authorization-related information.
- Staff Support: Support staff concerning authorization-related issues, including communicating with direct care staff and leadership to ensure all appropriate paperwork and clinical documentation supporting the authorization process is submitted promptly.
- Tracking: Maintain referral tracking and manage referral data, client information, and other relevant information.
- Fax Management: Receive and route incoming faxes and other documents, ensuring they promptly reach the appropriate staff members.
- Incoming Calls: Answer agency phone calls, respond to inquiries, route calls to the appropriate personnel, and provide excellent customer service to clients and stakeholders.
- Meetings: Attend and actively contribute to staff meetings within the Authorizations Team.
- Training: Attend relevant training to stay updated on industry best practices, regulatory changes, and emerging trends.
Previous experience in Mental Health and QMHP certification preferred.
