We are celebrating 13 years of continuous and dedicated community service!
Therapeutic Alliance LLC is a private mental health agency offering professional mental health counseling throughout Virginia for the past 13 years. We strive to provide culturally sensitive counseling services to children, adults and their families in several languages. Clients comprise all cultural, racial and economic backgrounds, including individuals with different sexual orientations.
The Therapeutic Alliance staff possess educational and clinical training that allows us to address mental health, substance abuse and behavioral issues using evidence-based methods. We provide extensive supervision to each and every case as a means to ensure a sound therapeutic approach. Our goal is to truly know our clients and to use this knowledge to guide, support, and motivate them as they make necessary life changes.
Therapeutic Alliance is a licensed provider of Intensive-In-Home(IIH), Mental Health Skill Buidling (MHSS) and Applied Behavioral Analysis (ABA).
We are offering:
Health Insurance
Health Saving Account
Dental Insurance
Vision Insurance
Life Insurance
Performance Bonus
Unpaid Extended Leave
Paid Time Off
Paid training time
Mileage reimbursement
Travel Time reimbursement
Phone reimbursement
Flexible Schedule
Liability insurance
Tuition Reimbursement
RBT Certification support
QMHP certification support
Staff recognition program
Competitive Salary Structure
Staff referral bonus program
Bilingual pay bonus
Job Summary
At Therapeutic Alliance LLC, we believe -People Make the Difference-, and we are looking for a sharp, energetic Referral Center Authorization Coordinator to help the growth of our organization with providing services for each and every client who contacts us. The Referral Center Authorization Coordinator ensures Mental Health/Behavioral Health Services for clients are processed and authorized by insurance company so that clients can benefit from the services provided by the agency. The Referral Center Authorization Coordinator works closely with the Intake Coordinator to process referrals for client service.
Responsibilities and Duties
Works effectively with insurance companies to get pre-authorization completed in a timely manner.
Communicates effectively and routinely with Site Director and Clinical Supervisor on the status of the pre-authorization and documents the pre-authorization approval or denial through the Electronic Medical Records (EMR) system (Lauris). Follows up with staff, clients, referral sources, billing company or physicians accordingly.
Prioritizes workload and develops system to track prior authorizations needing additional follow-up.
Takes personal responsibility for work. Fosters teamwork, taking initiative to teach pre-authorization to intake team members. Keeps clinical staff and leadership updated and informed about pre-authorization processes, insurance requirements, and changes or updated regulations.
Communicates effectively with all stakeholders.
Completes benefits investigations as needed.
Assists the billing company in helping obtain information the billing company requires to complete financial estimate for client.
Navigate through the EMR to find the required patient medical information. Review and submit all authorizations to responsible payors.
Enter pending authorizations for services in Lauris.
Track authorizations for approvals/denials.
Coordinate with licensed staff for additional clinical documents and submit to insurance company.
Approve authorizations and upload documents to client's Active File with approvals/denials.
Complete ongoing agency Insurance Eligibility monthly and update in Lauris.
Ongoing communication with Site Directors to ensure clients start as soon as possible at approval.
Maintains confidentiality of client records.
Uses Power BI to identify and track trends and other pertinent information.
Complete all reports in a timely manner.
Other duties as assigned.
Qualifications and Skills
Associate degree or equivalent (preferred).
Three (3) or more years' experience in pre authorizations, preferably in the mental health field.
Experience in the medical field can be substituted.
Excellent customer relation and communication skills.
Strong working knowledge of Microsoft Office and Google products.
Working knowledge of Electronic Medical Records (EMRs) - Lauris preferred.
Possess excellent attention to detail.
Accurately enter data and patient care documentation
Comfortable with using electronic medical records system.
Ability to communicate patient care needs with colleagues both verbally and in writing.
Ability to educate patients and/or patient families regarding care.
Utilize critical thinking skills.
Ability to investigate issues and ask follow-up questions.
Superb listening skills, exhibiting polite and respectful behaviors.
Able to develop strong patient rapport.
Able to work in a team environment.
Build solid working relationships with team and support co-workers with patient needs.
Maintain composure during high stress situations.
Be respectful toward patients, physicians, and all TA employees
Apply with us to make a difference!
Powered by JazzHR
