Authorization Coordinator

Authorization Coordinator
Quality Moments Behavioral Health Services

Join a Team That Makes a Difference

At Quality Moments, our mission is simple: No One Walks Alone. We are seeking a detail-oriented and organized Authorization Coordinator to support our growing behavioral health programs across Ohio. This role is responsible for managing service authorizations, tracking approvals, communicating with payers, and ensuring services are authorized and delivered without interruption.

Position Summary

The Authorization Coordinator serves as the liaison between Quality Moments, insurance providers, care management entities, and internal teams to obtain and maintain authorizations for behavioral health services. This position plays a critical role in supporting client access to care and ensuring compliance with payer requirements.

Essential Duties & Responsibilities

• Submit initial and ongoing authorization requests to insurance providers and managed care organizations.
• Monitor authorization status and proactively follow up on pending requests.
• Track authorization expiration dates and obtain renewals before services lapse.
• Review treatment plans and clinical documentation to ensure authorization requirements are met.
• Communicate with clinical staff regarding authorization needs, denials, and additional documentation requests.
• Maintain accurate authorization records within agency systems.
• Verify insurance eligibility and benefits as needed.
• Assist with appeals and reconsideration requests for denied services.
• Generate reports related to authorization activity, approvals, denials, and utilization trends.
• Collaborate with billing, intake, compliance, and clinical departments to ensure continuity of services.
• Maintain confidentiality and compliance with HIPAA, Ohio Department of Medicaid, and organizational standards.

Qualifications

• High school diploma or GED required; Associate's or Bachelor's degree preferred.
• Minimum of one year of experience in healthcare, behavioral health, insurance authorization, medical billing, or a related field preferred.
• Knowledge of Medicaid, managed care plans, and behavioral health services preferred.
• Strong organizational skills and attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities and deadlines.
• Proficiency with Microsoft Office and electronic health record systems.
• Ability to work independently while collaborating effectively with a team.

Preferred Experience

• Prior experience working with Ohio Medicaid Managed Care Plans.
• Experience with prior authorizations, utilization management, or healthcare scheduling.
• Familiarity with behavioral health services and documentation requirements.

Why Join Quality Moments?

• Mission-driven organization focused on improving lives.
• Supportive and collaborative work environment.
• Opportunities for professional growth and advancement.
• Competitive compensation.
• Full-time employees eligible for benefits, PTO, and holiday pay.
• Opportunity to make a meaningful impact every day.