Service Authorization Specialist

Hours: Full-Time (37.5 hours per week)

Location: Lynchburg, VA, 24501

POSITION SUMMARY

The Service Authorization Specialist accurately identifies, retrieves, and completes insurance service authorization requests on behalf of individuals receiving services at Horizon Behavioral Health.

REQUIRED EDUCATION AND EXPERIENCE

• High School Diploma / GED
• Two (2) years of related work experience in the healthcare environment is required, or an equivalent combination of education and experience that provides the required knowledge, skills, and abilities. Preference will be given to applicants who have worked with DMAS/MES systems as well as have prior service authorization experience.

RELATED KNOWLEDGE SKILLS AND ABILITIES

Knowledge of available federal, state, and local benefits; Knowledge of community mental health and public health; Knowledge of billing procedures/policy compliance for social service departments, courts, hospitals, employers, insurance carriers, and referring agencies; Knowledge of the principles, procedures, and techniques related to financial intakes, client billing, Medicaid, Medicare, Magellan, and commercial insurances; Knowledge and understanding of service authorization request process; Ability to analyze situations accurately and develop appropriate responses or techniques; Ability to communicate effectively in order to facilitate appropriate financial admissions and relay information to others as part of a team; Ability to perform interviews in order to obtain information and to formulate appropriate responses; Ability to manage time to ensure multiple competing deadlines are met; Ability to promote positive, collaborative, and professional working relations among coworkers and representatives in the community; Ability to record accurate data and complete documentation within established expectations and by communicated deadlines; Ability to respond effectively to changes in the work environment in a positive and professional manner; Ability to work in and contribute to a collaborative team environment; Ability to work independently with minimal supervision; Willing and available to work modified schedules (weekends, holiday, etc.) as required; Ability to drive and must possess a valid driver’s license. May be required to travel to different Horizon worksites during the day based on operational needs or provide admin support at other locations. Regular attendance at trainings and Horizon meetings may require travel to a variety of Horizon sites.

HORIZON ENVIRONMENT

Horizon Behavioral Health Community Services Board (CSB) is located in the beautiful heart of Central Virginia. Whether your passions be hiking the Appalachian Trails, kayaking the James River Blueways, or a Sunday drive along the world-famous Blue Ridge Parkway, Lynchburg Virginia offers small-town southern charm with an active culture of music festivals, outdoor activities, world-class performing arts and a revitalized downtown that placed it at the top of the list by Reviews.org as the 2019 best place for millennials to move. Horizon is also the proud recipient of Living in Lynchburg’s 2021 Giving Back Award, Best of Lynchburg for Counseling Services for multiple consecutive years, and again named Best Place to Work by Lynchburg Business Magazine in 2023!

We’re proud to offer some of the best benefits options in Central Virginia. Participation in the Virginia Retirement System (VRS) is exclusively for public service workers in Virginia, while several options exist for life, health, dental, and vision insurance. Emphasis on work-life balance means a generous annual leave policy ensuring time for wellness with separate time allocated for sick leave and additionally for paid holidays. Stay active with Horizon’s annual wellness programs and various opportunities to interact with the community through the year. Horizon’s clinical sites are NHSC/HRSA approved for clinical student loan repayment, and qualify for both the Public Service Loan Forgiveness (PSLF) and the Behavioral Health State Loan Repayment (BHLRP) programs. If you are interested in continuing your education, working at Horizon qualifies you to receive discounts at some local universities.

Horizon Behavioral Health is an Equal Opportunity Employer (EOE).