Insurance Authorization Admin Assistant

Industry: ABA Therapy

Location: Remote, South Africa

Hours: 8 - 5pm EST

Budget: Up to R17,000.00 depending on experience

Job Description Summary

The Insurance Authorization Admin Assistant works under the oversight of the Insurance Authorization Supervisor and receives all client intake information from the Intake Liaison, creates the client profile, obtains client insurance benefits and prior authorization for all services. The Insurance Authorization Admin Assistant then ensures ongoing authorization for services by checking ongoing benefit eligibility and reminding clinical staff of due dates for upcoming re-authorization periods.

Position Qualifications

• Minimum requirement of a High School diploma or General Education Degree (GED).
• Minimum of two years of experience and demonstrated success in similar position.
• Computer competency required.
• Knowledge of clinical/medical office environment preferred.

Essential Job Functions/Responsibilities

• Enter and maintain client information in computer databases and client files, including but not limited to admission data, verification of insurance benefits, and data tracking to ensure safe and appropriate care.
• Retrieve and manage voicemail messages.
• Gather demographic, clinical and insurance information for appropriate registration into the agency system and verification of coverage.
• Monitor insurance authorizations to ensure reimbursement for services provided. Prompt clinical staff when authorizations are low or expiring. Collect and submit additional authorizations as needed.
• Maintain database(s) of insurance authorizations and communicate effectively with billing, clinicians and supervisors to continually update authorization status.
• Respond to emails and other internal requests in a timely manner.
• Complete other duties as assigned.