Lighthouse Behavioral Health Solutions · 1 day ago
Authorization Specialist
Columbus, OH
Full-time
Onsite
Entry, Mid Level
1+ years expLighthouse Behavioral Health Solutions (LBHS) provides a range of mental health and substance abuse treatment services, emphasizing a compassionate approach to recovery. The Authorization Specialist will ensure compliance with insurance requirements by reviewing clinical documentation, facilitating authorizations, and acting as a liaison between clinical teams and insurance providers.
Addiction TreatmentEducationHealth CarePersonal HealthRehabilitation
Responsibilities
Evaluate clinical documentation to ensure alignment with payer requirements, regulatory standards, and best practices
Leverage clinical expertise to ensure documentation meets payer requirements while supporting patient-centered care
Remit the required records and forms to obtain authorizations, follow-up on authorization requests, document outcomes and support growth within the clinical team relative to insurance requirements
Serve as a key liaison between clinical providers, insurance representatives, and revenue cycle leadership to streamline authorization processes
Document and effectively communicate authorization outcomes to relevant stakeholders, providing actionable insights for improvement
Develop and implement SOPs and training programs related to insurance authorization procedures, fostering a culture of compliance and excellence
Monitor authorization turnaround times and denial rates, providing actionable insights to improve efficiency and patient outcomes
Create and refine procedures to streamline the authorizations process and increase access to care
Other duties as assigned
Qualification
Required
Bachelor's or Master's degree in Social Work, Counseling, or related field
Active Chemical Dependency or Mental Health license
Strong understanding of clinical documentation and payer requirements
Excellent communication and advocacy skills to liaise between clinical teams and insurance providers
Proficiency with EHR systems and insurance portals
Must pass BCI check, all Corporate Compliance checks, and employment drug screen
Preferred
1–3 years of relevant experience; experience in insurance authorization, utilization review, or revenue cycle management preferred
Benefits
9 Paid Holidays
Paid Time Off
Sick Time Off
Paid continuing education opportunities
Paid parental leave
Medical/Dental/Vision
401(k)
Life Insurance
STAR/HRSA/Ohio student loan forgiveness programs (for applicable roles and locations)
Company
Lighthouse Behavioral Health Solutions
Lighthouse Behavioral Health Solutions provides addiction treatment services.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknownKey Investors
Amulet Capital Partners
2022-03-30Private Equity
Leadership Team
Alisha Rinehart
Chief Recovery Officer, Co-Founder
Recent News
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