Utilization Management Specialist

Posted Yesterday
Be an Early Applicant
Charlotte, NC, USA
In-Office
Entry level
Healthtech
The Role
Manage authorizations, benefits, and intake support for new and current ABA clients. Verify eligibility, enter demographics and authorizations into the system, coordinate with clinics/providers, monitor clinic/provider availability, send intake packets, request financial agreements, maintain documentation, and complete authorization renewals.
Summary Generated by Built In
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

  • 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

Skills Required

  • Bachelor's Degree
  • Good working knowledge of Microsoft Office or Gmail office tools (Word, Excel, PowerPoint)
  • Experience using electronic medical record applications (Central Reach preferred)
  • Working knowledge of HIPAA regulations
  • Excellent interpersonal and written/oral communication skills
  • Strong organization, time management, and problem-solving skills
  • Self-motivated, energetic, and passionate about helping children with autism through ABA therapy
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The Company
520 Employees
Year Founded: 2016

What We Do

Mosaic Pediatric Therapy provides evidence-based applied behavior analysis (ABA) therapy and play-based learning for children with autism. The company offers personalized, comprehensive and focused treatment programs, including early intervention, through clinic-based services across North Carolina and Virginia. Its multidisciplinary teams collaborate with families to build essential skills in supportive, engaging environments, while also offering diagnostic services and resources tailored to each child’s needs.

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