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Detention Officer Supervisor

Company: Comhar Inc.
Location: Philadelphia
Posted on: January 15, 2021

Job Description:

Description: Job SummaryThe IBHS Authorization Manager reports to the Office Manager of Children's Services. The IBHS Authorization Manager will be responsible for admitting clients by gathering and recording provider, client, and insurance information. The IBHS Authorization Manager oversees pre-authorization and referrals process for the IBHS program.Reporting to the Office Manager, this position's primary responsibility is ensuring that billing authorizations are uploading from CBH and correctly inputted into EVOLVSummary of essential job functionsImprove the proficiency of receiving and correcting authorizations for services.Admissions / Prior Authorization Specialist Job Duties:* Track Discharges and submit to CBH to end any active authorizations* Pre-admits clients by receiving referrals from a number of sources; entering client information into the referral module in Evolv.Run initial eligibility through Promise for client.* Secures payments by screening insurance information; identifying clients requiring pre-admission approvals from third-party payers; verifying approvals.* Uploading and Downloading CBH authorizations.* Developing and monitoring authorization reports that are reviewed with Office Manager. Monitors the authorization process of both individual and aggregate cases.* Tracking and correcting authorizations for proper length and number of units. Meet weekly with CBH Care Manager to discuss authorization correction list.* Documenting to ensure that the service hours & units match what was requested.* Process contractor and temp agencies invoices.* Ensures a responsive system for authorization of services and payment of claims by monitoring the COMHAR billing system for laps in service as well as rejections and error logsMajor Duties/Essential functions:* Downloading and uploading of CBH authorizations* Processing of referrals* Processing invoices* Ensuring client eligibility* E-mail assigned staff and case managers about their clients evaluation appointmentsPeriodic duties:* Identifying possible requests for proposal and discuss these RFP's with VP of Children's Services* Responsible for coordination of medical records storage.* Will oversee the departments' training needs, including tracking and monitoring.. Requirements: Skills and Qualifications:Requirements:Physical demands:Time Management, Organization, Attention to Detail, Quality Focus, Professionalism, Productivity, Thoroughness, Coordination, Deadline-Oriented, Internal Communications, Reporting Skills, Intermediate level computer skill with creating and modifying documents using Microsoft products (e.g. Word, Excel, PowerPoint); ability to key quickly and accurately- High school diploma or GED- 2 years' experience in an office setting- Proficient with office software- Understanding of basic accounting, and personnel management.- Any additional education, training or supervision requirements stipulated by the Department of Public Welfare within Medical Assistance Bulletins.- Computer proficiency* Physical requirements: Independent physical mobility, Minimal - moderate level of physical activity (walking, sitting and standing), Extended sitting for periods > 45 minutes at a time.* Visual requirements: normal vision requirements* Hearing requirements: able to hear normal conversation in person and on the phoneWorking conditions:* Work completed in a variety of settings, both inside and outside.* Ability to lift 45 lbs* Injuries due to road hazards while driving to and from assignmentsPM20PI127766135

Keywords: Comhar Inc., Philadelphia , Detention Officer Supervisor, Other , Philadelphia, Pennsylvania

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