Insurance Authorization Specialist

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About BlueSprig

We are changing the world for children with autism.

Our talented and passionate employees are a critical piece of the puzzle that deliver high-quality ABA therapy driven by our commitment to exceed industry standards of clinical outcomes. We are a Certified Learning Organization committed to your ongoing professional development and offer CEUs, impactful conferences, and opportunities to be involved in innovative research and tireless advocacy efforts with experts in the ABA field.

We are looking for a passionate Insurance Authorization Specialist to join our Operations Support team. The successful candidate will be customer service oriented to provide a centralized process for the company. Responsibilities of the Authorization Specialist include submitting authorization requests, communication with clinics and a high level of customer service. This role will report to the Authorizations Supervisor.

Job Responsibilities

• Submit authorizations by contacting payors in a timely manner via phone as well as various portals
• Understand the authorization process and navigate the payor requirements accordingly
• Enter authorization information accurately in Central Reach system
• Provide clear, concise communication regarding authorizations to center team members
• Provide support to clinics in review of authorization requests
• Collaborate with all RCM teams and other departments to ensure efficiencies and strong communication and escalation of issues and/or enhancements
• Identify critical issues and provide possible solutions in addition to elevating problems to leadership
• Collaborate with the Auth/VOBE Supervisor on special projects, work flow optimization and improvement efforts
• Prioritize and multi-task efficiently while balancing a large work volume

Job Requirements

• Exceptional analytical, conceptual, and problem solving skills with the ability to define problems, and disseminate significant amounts of information with attention to detail and accuracy
• Self-starter who can work in an unstructured environment, independently or in collaboration with a team
• Inherent flexibility in demeanor with a positive can-do attitude and an entrepreneurial spirit
• Ability to prioritize and multi-task efficiently while balancing a large work volume
• Demonstrated ability to effectively communicate both verbally and written
• Possess strong organizational and follow up skills with an ability to work well under pressure
• Ability to develop effective working relationships within the RCM department and across the organization
• 1+ years of experience in healthcare authorizations preferred
• Strong knowledge of Microsoft Excel and Word
• Monitor authorization expirations and timely submission authorization requests

As a result of President Biden Executive Order and in anticipation of the Occupational Safety and Health Administration (OSHA) directive all candidates must be aware that BlueSprig will be required to comply with both the order and OSHA directives, as necessary. Therefore, all BlueSprig employees may be required to be vaccinated or provide evidence of a required work accommodation.

Washington Candidates:

Per the directive of Washington Governor Jay Inslee, all health care providers in the private health care sector must be fully vaccinated by 10/18/21. This includes most employees, contractors, volunteers, and other positions that have any onsite presence. Therefore, all BlueSprig employees must be vaccinated or provide evidence of a required work accommodation.

Oregon Candidates:

Per the directive of Oregon Governor Kate Brown, all health care providers who have direct or indirect contact with clients must be fully vaccinated by 10/18/21.

At BlueSprig, we are dedicated to ensuring a level playing field for all. As part of that, we work hard to maintain our Great Place To Work ® status so that everyone is rewarded fairly and earns opportunities for bringing their whole and best selves every day, to allow for the fulfillment of our mission to change the world for children with autism.  

Sometimes the confidence gap and imposter syndrome can make someone doubt themselves and reconsider applying for a job that they love. Well, we’re called BlueSprig for a reason – because we want to help everyone grow. If you want to be a part of our BlueSprig family, please apply as we would love to hear from you.