Top 4 Intake specialist remote Jobs in Lorain, Oh

Prior Authorization Specialist/Medical Assistant
REACH Behavioral Health —Brookpark, OH
- $21 - $24 an hour
- Full-time
- Hybrid work
- Background check
- Applied behavior analysis
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
1d
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Senior Cloud Solutions Engineer – Intake (Remote)
Govcio LLC —United States
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- Full-time
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Prior Authorization Specialist/Medical Assistant

REACH Behavioral Health -
Brookpark, OH

Quick Apply

Job Details

Full-time
$21 - $24 an hour
1 day ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
Life insurance

Qualifications

Insurance prior authorization
Electronic health records (EHR) management
Medicaid billing
Writing skills
Electronic records management
Records management
Computer skills
Insurance provider collaboration
Medical assisting
Time management

Full Job Description

Summary

The Prior Authorization Specialist is responsible for obtaining, tracking, and maintaining insurance authorizations for Day Treatment, Psychiatry, ABA, Speech Therapy, Occupational Therapy, and other clinical services provided by REACH. This position serves as the liaison between clinicians, insurance companies, referral sources, and families to ensure services are authorized prior to treatment and that existing authorizations are renewed without interruption.

REACH Behavioral Health and its subsidiary, CJ Hendry are growing, multi-location behavioral health agencies. The combined agencies currently serve 1,500 clients at 12 locations throughout Northeast Ohio.

Essential Duties and Responsibilities

Prior Authorizations

Obtain initial authorizations for all applicable services.
Submit authorization requests through payer portals, phone, or fax.
Gather and organize all required clinical documentation.
Review documentation for completeness prior to submission.
Track authorization status until approved.
Follow up with insurance companies regarding pending requests.
Coordinate peer-to-peer reviews when required.
Escalate urgent authorization issues to clinical leadership.

Authorization Management

Maintain an accurate authorization tracking system.
Monitor expiration dates and begin renewal requests before authorizations expire.
Verify approved units, service dates, frequencies, and provider information.
Update the EHR and billing system with authorization numbers and approved units.
Notify clinical staff immediately of authorization approvals, denials, or limitations.

Clinical Coordination

Work closely with therapists, psychiatrists, nurse practitioners, BCBAs, speech-language pathologists, occupational therapists, and case managers.
Request additional documentation when necessary to support medical necessity.
Educate clinicians regarding payer documentation requirements.
Assist providers in responding to payer requests for additional information.

Insurance Verification

Verify eligibility and benefits as needed.
Identify payer-specific authorization requirements.
Monitor changes in insurance coverage that may affect treatment.
Communicate coverage issues to scheduling, billing, and clinical staff.

Denial Management

Review authorization denials.
Coordinate appeals with providers.
Prepare appeal documentation.
Track appeal outcomes.
Identify trends that contribute to authorization denials and recommend process improvements.

Documentation

Maintain accurate records of all payer communications.
Document authorization activity in the electronic health record.
Ensure compliance with payer policies and organizational procedures.

Collaboration

Work closely with:
Billing Department
Intake Department
Scheduling
Clinical Supervisors
Providers
Families
Assist with process improvement initiatives related to authorizations and revenue cycle management.

Required qualifications

Medical Assistant certification or equivalent clinical experience.
Minimum of two years of experience in healthcare administration, prior authorizations, insurance verification, or medical office operations.
Experience working with electronic health records.
Strong computer and organizational skills.
Excellent written and verbal communication.
Ability to manage multiple priorities and deadlines.

Preferred qualifications

Experience in behavioral health, psychiatry, ABA, speech therapy, occupational therapy, or pediatric healthcare.
Knowledge of Medicaid, Medicare, and commercial insurance authorization processes.
Experience with CareLogic or similar behavioral health EHR.
Understanding of CPT, ICD-10, and payer authorization requirements.

Job Schedule and Working Conditions

· The job follows a year-round schedule for a total of 249 work days in a year

Job Type: Full-time

Pay: $21.00 - $24.00 per hour

Benefits:

Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: Hybrid remote in Brookpark, OH 44142

Quick Apply

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intake specialist remote jobs in lorain, oh

Prior Authorization Specialist/Medical Assistant

Databricks SME (Remote)

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