Utilization Management Specialist

Primary Responsibilites:

Conducting authorizations, benefits and clinic support for new intake and current clients.

Preferred Skills and Knowledge:

Excellent organization and problem-solving skills

Experience using electronic medical record applications (Central Reach preferred).

Working knowledge of HIPAA regulations

Excellent interpersonal skills, good oral and written communication skills

Good organization and time management skills

Must have good working knowledge of Microsoft Office or Gmail office tools (Word, Excel, PowerPoint)

Verify client information and benefits

Email Intake packets for new clients and monitor receipt

Enter accurate demographic, benefit, and authorization information for clients into operating system

Request Financial Agreements from Client Accounts

Monitor availability of clinic space and providers

Coordinate process flow with clinics and providers

Maintain accurate documentation of service requests, testing, referrals and authorizations

Oversee receipt of authorizations and creation of accurate authorizations in operating system

Actively participate in Intake meetings and collaborate with providers and clinics for best Intake practices

Complete authorization renewals

Verify client eligibility weekly

Other duties as assigned by the intake manager

Education and Experience:

Bachelor’s Degree preferred

Must be self motivated, driven, bring energy and good communication skills

Must convey a sense of passion about helping children with autism through ABA therapy

Time management and organization