Top 54 Authorization specialist Jobs in Saint Clair Shores, Mi

Billing and Intake Specialist
Lakeridge Village —Detroit, MI
- $45,000 - $55,000 a year
- Full-time
- Clean driving record
- Microsoft Outlook
- Writing skills
- Paid time off
Quick Apply
6d
Medical Records Clerk
CAVA —Bloomfield Hills, MI
- $17.50 - $19.50 an hour
- Full-time
- Background check
- Medical office experience
- HIPAA
- Health savings account
- Health insurance
Quick Apply
6d
Prior Authorization Specialist
Silver Pine Medical Group —Sterling Heights, MI
- $18.50 - $26.00 an hour
- Part-time
- Customer service
- High school diploma or GED
- Patient care
Insurance Verification & Billing Specialist
Eastlake Cardiovascular PC —Saint Clair Shores, MI
- 8 hour shift
- Research
- Mid-level
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Surgical Scheduler
Guest Malach Eye Specialists —Saint Clair Shores, MI
- Up to $25 an hour
- Full-time
- Background check
- Private practice
- Surgery
- Paid training
- Paid holidays
Quick Apply
Insurance verification/ Prior Auth specialist
Surgical Specialists Group of Michigan —Saint Clair Shores, MI
- Full-time
- Office
- High school diploma or GED
- Travel
- Dental insurance
- Paid time off
Quick Apply
Central Authorization Specialist
Henry Ford Health —Troy, MI
- Day shift
- Computer literacy
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
CentralAuthorizationSpecialist
Henry Ford Health —Troy, MI
- Day shift
- Computer literacy
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
7d
Medical Assistant
Oak Street Health —Highland Park, MI
- $18.50 - $35.29 an hour
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Health insurance
- Dental insurance
1d
Assistant - Office Operations - Neurology Clinic - Full Time
Henry Ford Health —Chesterfield, MI
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Health insurance
- Dental insurance
14d
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Detroit, MI
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Insurance Accounts Receivable Specialist
Healing Haven —Madison Heights, MI
- From $55,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
Administrative Support Specialist
Harbor Oxygen —Detroit, MI
- $20 - $25 an hour
- Full-time
- High school diploma or GED
- Organizational skills
- Communication skills
Quick Apply
Surgical Scheduler
Surgical Specialists Group of Michigan —Saint Clair Shores, MI
- Full-time
- Private practice
- Surgery
- Office
Quick Apply
Certified Medical Assistant
Michigan Surgery Specialists —Warren, MI
- $18 - $24 an hour
- Full-time
- Customer service
- Computer literacy
- Writing skills
- Paid training
- Health insurance
Quick Apply
14d
Medical Assistant
Concentra —Warren, MI
- Full-time
- Microsoft Excel
- Vital signs
- Microsoft Outlook
- Commuter assistance
- Disability insurance
18h
Insurance Specialist I
Proctor Loan Protector —Troy, MI
- 8 hour shift
- Research
- Office
- Microsoft Office
- Employee stock purchase plan
- Paid holidays
Authorization and Insurance Specialist
Centria Healthcare —Farmington Hills, MI
- $17 - $20 an hour
- Monday to Friday
- Remote
- Google Workspace
- Computer literacy
- Writing skills
Quick Apply
Denials Management Specialist
McLaren Health Care —Shelby Charter Township, MI
- Full-time
- Surgery
- 3 years
- High school diploma or GED
Intake Billing Specialist
violet health: Infusion Care —Sylvan Lake, MI
- $22 - $35 an hour
- Full-time
- Google Workspace
- HIPAA
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
3d

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authorization specialist jobs near saint clair shores, mi

Billing and Intake Specialist

Lakeridge Village -
Detroit, MI

Quick Apply

Job Details

Full-time
$45,000 - $55,000 a year
6 days ago

Benefits

Paid time off

Qualifications

Teamwork
Microsoft Outlook
Intake
High school diploma or GED
Insurance medical billing
Driver's License

Full Job Description

BILLING and INTAKE SPECIALIST

Under the general supervision of the Deputy Chief Operating Officer, the Billing and Intake Specialist is responsible for performing intake, billing and authorization responsibilities for the Lakeridge Village Program.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

· Prepares, submits, and follows up on SUD claims to ensure Lakeridge Village receives payment for billable services

· Verifies patient information and insurance coverage before billing.

· Inputs billing codes, treatment codes, and diagnostic codes into DWIHN and NextStep.

· Monitors submitted claims for status updates, follows-up on unpaid claims, and initiates appeals for denied claims within standard billing cycle timeframes.

· Conduct billing audits.

· Serves as the first point of contact for clients, answering inquiries and providing information about available services.

· Gathers and records essential client data, including personal details, medical histories, and consent forms, ensuring accuracy and confidentiality.

· Maintains thorough records of client interactions and ensures all necessary documentation is completed and up-to-date.

· Evaluates client needs to determine eligibility for services.

· Verifies information such as income or insurance coverage.

· Processing intake forms, consent documents, and any required disclosures.

· Inputs client data into the electronic health record system

· Provides essential information to clients about the services, procedures, and protocols of the SUD program.

· Oversees rental payments for Lakeridge Management.

· Receives and logs all incoming mail and correspondence.

· Receives intake calls.

· Puts clients on the calendar for admission into the Lakeridge Village program.

· Ensures that all intake forms are complete.

· Ensures that all authorizations and admissions are complete.

· Runs reports detailing Lakeridge client count.

· Runs reports detailing missing admissions, authorizations and notes.

· Verifies that billable notes are documented in NextStep and DWIHN.

· Oversees the Intake Specialist and assists the authorization clerk.

· Performs related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES (KSA’S)

· Knowledge of Lakeridge Village policies, procedures and practices.

· Knowledge of the Michigan Mental Health Code.

· Knowledge of MDHHS policies, rules, regulations and procedures.

· Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.

· Knowledge of MHWIN.

· Knowledge of Medical Necessity Criteria for Behavioral Health Services.

· Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2.

· Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.

· Knowledge of billing codes.

· Knowledge of billing procedures and practices.

· Knowledge of intake policies and procedures.

· Knowledge of authorization policies and practices.

· Supervisory skills.

· Assessment skills.

· Evaluation skills.

· Decision Making skills.

· Interpersonal skills.

· Communication skills.

· Active Listening skills.

· Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).

· Teamwork Skills.

· Ability to communicate orally.

· Ability to communicate in writing.

· Ability to work effectively with others.

· Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.

· Judgement/Reasoning ability.

REQUIRED EDUCATION:

A High School Diploma, GED, or equivalent.

REQUIRED EXPERIENCE:

Two (2) years of professional experience performing billing services for a social service, human service, or mental health agency.

AND

One (1) year of full-time paid experience performing authorization and intake duties and responsibilities for a social service, human service, or mental health agency.

NOTE: Education completed at a recognized college, university or trade school may be substituted for required experience on a year for year basis.

REQUIRED LICENSE(S).

A valid State of Michigan Driver’s License with a safe and acceptable driving record.

WORKING CONDITIONS

Work is performed in an office setting.

This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.

Lakeridge Village is an Equal Opportunity Employer

Pay: $45,000.00 - $55,000.00 per year

Benefits:

Paid time off

Work Location: In person

Quick Apply

Refine Your Search

authorization specialist jobs in saint clair shores, mi

Billing and Intake Specialist

Medical Records Clerk

Prior Authorization Specialist

Insurance Verification & Billing Specialist

Surgical Scheduler

Insurance verification/ Prior Auth specialist

Central Authorization Specialist

CentralAuthorizationSpecialist

Medical Assistant

Assistant - Office Operations - Neurology Clinic - Full Time

Prior Authorization Certified Pharmacy Technician

Insurance Accounts Receivable Specialist

Administrative Support Specialist

Surgical Scheduler

Certified Medical Assistant

Medical Assistant

Insurance Specialist I

Authorization and Insurance Specialist

Denials Management Specialist

Intake Billing Specialist

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