360 Behavioral Health
Lead Authorizations Coordinator
360 Behavioral Health, Van Nuys, California, United States, 91405
Lead Authorizations Coordinator
At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities. Today, 360 Behavioral Health is one of the top ABA, enhanced personal assistance and respite providers in the United States. The commitment, dedication, and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for "The 5 Best ABA Therapy Providers for 2023", and to us being labeled as a certified "Best Place To Work"! The Authorizations Lead is responsible for overseeing the end-to-end authorization process to ensure accurate, timely, and efficient management of client authorizations across all funders. The Authorizations Lead acts as the primary point of contact for escalations, supports the team in meeting productivity and quality standards, and collaborates with internal departments, local offices, and payors to ensure process consistency and drive improved outcomes. Role Responsibilities: Provide day-to-day leadership and oversight of the authorization team and process. Monitor workload distribution and ensure compliance with established workflows and timelines. Serve as subject matter expert on all aspects of authorization requirements, processes, and systems. Act as the escalation point for complex, delayed, or problematic authorization cases. Manage and maintain tools supporting the authorization function. Oversee the submission of reauthorization requests to payors ensuring appropriate documentation per funder guidelines. Monitor and follow up on pending authorizations, escalate when necessary. Stay up to date on funder requirements and communicate changes to relevant teams. Serve as the primary contact for Operations leadership regarding authorization-related inquiries. Collaborate with offices to address overdue reports and documentation needs. Communicate regularly with payors to resolve outstanding items and ensure receipt of approvals. Oversee shared mailboxes and timely distribution of incoming authorization related documents. Sort, disseminate, and process mail related to authorizations to ensure timely processing. Must Haves: High School Diploma or GED (minimum). Minimum of 1 year experience with processing authorizations. Minimum of 1 year of experience working with insurance companies, regional centers, or other payors. Minimum of 1 year experience in Customer Service. Ability to work collaboratively with a multidisciplinary team. Excellent clinical and leadership skills. Fluency with all Microsoft Office programs. Self-motivated, responsible, honest, articulate, excellent time management skills, and skills to work independently. Professional demeanor, well-organized, and attention to detail. Demonstrate effective communication skills to interact with Clients, family members, and Payors. Nice to haves: Supervisory or lead experience What We Offer: Competitive compensation ($27$30/hour) Student loan repayment assistance for eligible roles Bonus program(s) for eligible roles Career development and advancement opportunities Great and fun company culture Expansive Health, Vision, and Dental plans for our full-time partners 401(K) retirement savings program Mileage and phone reimbursement And so much more! 360 Behavioral Health is an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system, we are committed to providing reasonable accommodations. Please contact us at 855-360-4437 for assistance. EEO/Minorities/Females/Disabled/Veterans Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an email to benefits360hr@360bhmail.com to let us know the nature of your request.
At 360 Behavioral Health, we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise, we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities. Today, 360 Behavioral Health is one of the top ABA, enhanced personal assistance and respite providers in the United States. The commitment, dedication, and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for "The 5 Best ABA Therapy Providers for 2023", and to us being labeled as a certified "Best Place To Work"! The Authorizations Lead is responsible for overseeing the end-to-end authorization process to ensure accurate, timely, and efficient management of client authorizations across all funders. The Authorizations Lead acts as the primary point of contact for escalations, supports the team in meeting productivity and quality standards, and collaborates with internal departments, local offices, and payors to ensure process consistency and drive improved outcomes. Role Responsibilities: Provide day-to-day leadership and oversight of the authorization team and process. Monitor workload distribution and ensure compliance with established workflows and timelines. Serve as subject matter expert on all aspects of authorization requirements, processes, and systems. Act as the escalation point for complex, delayed, or problematic authorization cases. Manage and maintain tools supporting the authorization function. Oversee the submission of reauthorization requests to payors ensuring appropriate documentation per funder guidelines. Monitor and follow up on pending authorizations, escalate when necessary. Stay up to date on funder requirements and communicate changes to relevant teams. Serve as the primary contact for Operations leadership regarding authorization-related inquiries. Collaborate with offices to address overdue reports and documentation needs. Communicate regularly with payors to resolve outstanding items and ensure receipt of approvals. Oversee shared mailboxes and timely distribution of incoming authorization related documents. Sort, disseminate, and process mail related to authorizations to ensure timely processing. Must Haves: High School Diploma or GED (minimum). Minimum of 1 year experience with processing authorizations. Minimum of 1 year of experience working with insurance companies, regional centers, or other payors. Minimum of 1 year experience in Customer Service. Ability to work collaboratively with a multidisciplinary team. Excellent clinical and leadership skills. Fluency with all Microsoft Office programs. Self-motivated, responsible, honest, articulate, excellent time management skills, and skills to work independently. Professional demeanor, well-organized, and attention to detail. Demonstrate effective communication skills to interact with Clients, family members, and Payors. Nice to haves: Supervisory or lead experience What We Offer: Competitive compensation ($27$30/hour) Student loan repayment assistance for eligible roles Bonus program(s) for eligible roles Career development and advancement opportunities Great and fun company culture Expansive Health, Vision, and Dental plans for our full-time partners 401(K) retirement savings program Mileage and phone reimbursement And so much more! 360 Behavioral Health is an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system, we are committed to providing reasonable accommodations. Please contact us at 855-360-4437 for assistance. EEO/Minorities/Females/Disabled/Veterans Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an email to benefits360hr@360bhmail.com to let us know the nature of your request.