Prior Authorization Specialist (Remote after training)

Job Description

Job Description

DeCoach Recovery is a leading addiction treatment center dedicated to providing compassionate care and effective solutions for individuals battling addiction. We take the time with every client to understand their needs and where they are on their recovery journey to help them not only reach sobriety, but to stay sober long-term.  

We are currently hiring for a prior authorization specialist to work at our Sharonville Headquarters. You will be responsible for obtaining necessary approvals from insurance providers prior to patients starting treatment or medications.  You will review clinical documentation, submit authorization requests, and communicate with healthcare providers and payers to ensure coverage requirements are met.  The role includes tracking requests, resolving issues and denials.  This position can become remote once training is completed. 

Minimum Qualifications:

• High school diploma or equivalent; associate or bachelor’s degree preferred.
• Minimum of 2 years experience in prior authorizations or in a revenue cycle role
• Excellent communication and negotiation skills.
• Proficiency with technology including Microsoft Office Suite

Responsibilities:

• Verify patient eligibility and coverage limits

• Review medical charts to ensure clinical notes match what insurance requires

• Send requests for prior approval to insurance providers

• Track pending cases and follow up with insurance agents

Benefits:

• Medical, Dental and Vision Benefits
• Yearly Merit Raises
• A Company Matched 401(k) plan
• Tuition Reimbursement
• STAR Eligible Facilities to Assist with Student Loan Forgiveness
• PTO and Paid Holidays
• Opportunities for Advancement