Utilization Management Specialist

The Southeast's Premier ABA Therapy Provider for Children with Autism, We are a values-driven company and are dedicated to providing world-class ABA therapy services to our early childhood patients while promoting a positive and supportive culture for our team members. Top 5% nationally in employee satisfaction! Top 3% nationally in client family satisfaction!

The Utilization Management Specialist is responsible for establishing a professional and supportive contact for clients seeking to enter ABA therapy and for current clients receiving ABA services.

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