Clinical Authorization Coordinator

Employees at Damar arent just part of a workforce theyre part of a mission-driven team making a real difference in peoples lives.
Since 1967 Damar has been recognized across Indiana as one of the largest not-for-profit organizations and a leading provider of behavioral health and intellectual and developmental disability (I/DD) services. We foster a united purpose-driven culture where employees feel valued supported and motivated to give their best. Its no surprise Damar has been named a Top Workplace for several years!

Ready to make a real difference
The Clinical Authorization Coordinator is responsible for coordinating and managing prior authorization processes to support accurate billing and reimbursement for behavioral health and medical services. This role works closely with clinical teams billing staff and insurance providers to ensure prior authorizations are submitted approved and renewed in a timely manner. The Clinical Authorization Coordinator will primarily support prior authorizations for therapists while providing backup support for medical prior authorizations.

Here are just a few of the benefits youll enjoy at Damar:

• Mileage reimbursement
• Receive world-class training of verbal intervention & physical management techniques
• Enjoy the opportunity to work with our vast population and programs/services
• Eligible for the Damar Advantage including discounts at Damar Health Services and Damar Pharmacy
• Comprehensive training in verbal intervention and physical management techniques
• Medical Dental and Vision Insurance options
• Up to $3000 per year in Tuition Assistance
• Save for your retirement with our 401(k) Plan Participation
• Take care of loved ones through our Damar provided Life Insurance and additional voluntary options
• Short-Term and Long-Term Disability Insurance options
• Paid Holidays to spend time with loved ones
• Paid Time Off (PTO) for rest and renewal

Remarkable ways you will be making a difference:

• Attends mandatory staff meeting and other meetings as assigned
• Establishes and maintains effective communication with pay sources including Medicaid Managed Medicaid Medicare and private insurers
• Tracks behavioral health patient admissions and discharges to support accurate authorization and billing processes
• Reviews documentation to ensure required information is available for prior authorization submissions
• Collaborates with Accounting and billing staff to resolve authorization-related billing issues
• Coordinates the submission tracking and approval of prior authorizations for behavioral health services.
• Monitors authorization approval periods and renewal dates to prevent interruptions in services and billing
• Communicates with clinical teams regarding authorization requirements approval status and necessary documentation
• Provides backup support for medical prior authorizations as needed

What you need to be considered:

• High school diploma or GED required
• Bachelors degree preferred
• Minimum of 1 year of experience in healthcare billing insurance verification or prior authorization processes required
• Experience working with Medicaid Managed Medicaid Medicare and private insurance companies preferred
• Experience supporting prior authorizations for behavioral health or medical services preferred
• Experience reviewing documentation for billing accuracy and insurance authorization requirements preferred
• Trauma informed care and de-escalation training
• Ability to pass and maintain CPR Certification
• Minimum age of 18 per licensure requirements
• Valid Indiana drivers license and driving record that meets eligibility requirements of Damars insurance carrier (for all positions requiring driving)
• Be clear of any felony convictions substantiated charges of neglect or other disqualifying criminal convictions
• Successfully complete a pre-employment drug screen and physical
• Favorably meet and maintain Damars background screening

Essential Job Functions

The essential functions of this position require the physical ability and mobility needed to perform the job. This includes the ability to stand or sit for prolonged periods; occasionally stoop bend kneel crouch reach and twist; lift carry push and/or pull up to 50 lbs.; operate office equipment including a computer keyboard; travel to other locations using private or commercial transportation; and communicate effectively to exchange information.

The position also requires the ability to recognize and respond appropriately to client behaviors staff instructions safety concerns and emergencies in an environment where individuals may display aggressive self-injurious sexually maladaptive elopement or other unpredictable behaviors.

Regular and acceptable attendance excluding approved absences and periods of leave is also an essential function of the position.

Each essential function must be performed satisfactorily with or without reasonable accommodation.

Damar is committed to providing an accessible and inclusive experience for all applicants. If you need a reasonable accommodation to access our job opportunities complete an application or participate in any part of the recruiting process please contact Damar Human Resources at . Requesting a reasonable accommodation will not adversely affect your consideration for employment.

Damar Services is an Equal Opportunity Employer. Damar makes equal employment opportunities available to all applicants and employees without regard to race color sex pregnancy age religion national origin ancestry disability including hearing- or vision-related disabilities citizenship status military or veteran status genetic information sexual orientation gender identity or any other category protected by applicable federal state or local law.

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