A.G.E.S. Learning Solutions
Website:
ageslearningsolutions.com
Job details:
Job Summary
The Client Intake & Authorization Specialist is responsible for managing the end-to-end client onboarding process, including intake documentation, insurance verification, prior authorizations, and coordination with families, clinicians, and payers. This role is critical to ensuring timely client start-of-care, compliance with payer requirements, and minimizing revenue leakage due to authorization delays or errors.
Key Responsibilities:
- Support new client intake, ensuring all required documentation is accurately collected and validated.
- Review intake data for completeness, accuracy, and compliance with payer and regulatory requirements.
- Serve as the primary point of contact for families during the intake and authorization process.
- Coordinate with clinical, scheduling, and billing teams to ensure smooth onboarding and timely service initiation.
- Verify insurance eligibility, benefits, coverage limits, and payer-specific requirements.
- Submit initial and ongoing authorization requests to insurance payers.
- Track authorization status, follow up proactively with payers, and resolve delays or denials.
- Ensure authorizations are active, accurate, and aligned with prescribed services and clinical recommendations.
- Maintain authorization logs and ensure timely renewals to avoid service disruptions.
- Work closely with the clinical team, schedulers, and billing teams to align intake and authorization details.
- Escalate authorization risks, delays, or denials to leadership promptly.
- Ensure strict compliance with HIPAA, payer policies, and internal SOPs.
- Maintain accurate and up-to-date documentation in EMRs
- Support audits by maintaining clear authorization trails and documentation.
- Adhere to company policies related to data security, confidentiality, and record retention.
- Track and report key intake and authorization metrics, including turnaround time, approval rates, and denial trends.
- Identify recurring issues and contribute to process improvement initiatives.
- Meet defined SLAs and productivity benchmarks consistently.
Desired Candidate Profile:
- Bachelors degree preferred (healthcare, business, or related field).
- 2–4 years of experience in healthcare intake, insurance authorization, or revenue cycle operations.
- Strong knowledge of US insurance processes, prior authorizations, and payer workflows.
- Experience working in therapy services, or similar healthcare settings preferred.
- Proficiency with EMRs and MS Office / Google Workspace.
- Strong attention to detail and documentation accuracy
- Excellent written and verbal communication skills
- Ability to manage high-volume intake pipelines
- Proactive follow-up and payer coordination
- Strong organizational and time-management skills
- Ability to work independently in a fast-paced environment
Location: Hybrid, with in-person work required at times.
If you're passionate about client support and are looking for a dynamic role in a growing company, apply today!
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