Authorization Technician (PRN Only)

The Richmond Behavioral Health Authority is seeking a PRN Authorization Technician to join our Quality team! Prior authorization is a process used by many health insurance companies to determine whether they will reimburse a prescribed procedure, service, or medication. Work is performed under the limited supervision of the Health Care Data Quality Supervisor.

Essential Functions

Responsible for processing pre- and reauthorizations for clinical services requiring precertification

Maintaining a working knowledge of Medicaid/Medicare and Managed Care Organizations (MCOs)

Verifying current insurance coverage through DMAS

Maintaining tracking of authorization requests/approvals and key authorizations into the Electronic Health Record (EHR)

Performing intermediate administrative support work researching and identifying errors in client level data in the EHR which impacts monthly billing processing

Other duties as assigned

Knowledge, Skills, and Abilities

General knowledge of proper business English and spelling; ability to answer inquiries and assist the public in a courteous manner; ability to understand and follow oral and written instructions; ability to operate personal computer and word processing software quickly and accurately; ability to establish and maintain effective working relationships with associates, MCO representatives, medical personnel, clients, and the public. The ideal candidate will be a hard-working and computer-savvy professional able to undertake a variety of office support tasks and work diligently under pressure. This individual must be comfortable working with a high degree of attention to detail and discretion, as well as incorporating new and effective ways to achieve better results.