Authorization Specialist

Claratel Behavioral Health is seeking an Authorization Specialist to coordinate and manage ASO and CMO authorization requests, ensuring timely and accurate processing. The successful candidate will have experience with SFTP protocols, Microsoft Excel, and Microsoft Word, as well as strong interpersonal and communication skills.

Requirements

• Coordinate/manage all ASO and Care Management Organization (CMO) authorization requests for DeKalb CSB
• Oversee the authorization process end to end making changes as identified and resolving of billing discrepancies
• Electronically submit, receive, and process data on a daily basic
• Review documentation and coordinate with clinical team members to ensure the State and CMO clinical requirements/standards are being met
• Coordinate with the UM Manager regarding any authorization reviews and appeals
• Use advanced tools to analyze data and conduct comprehensive clerical research using a variety of resources to generate reports and responds to requests
• Enter data from forms, records, and/or reports using a computer or terminal
• Code information as appropriate

Benefits

• Pre-employment drug screening
• Criminal history background check