HCBS Administrative Assistant( Utilization)

Job description

Job DetailsJob Location: WRIGHT DIRECTIONS - RIDGELAND - RIDGELAND, SC 29936Position Type: Full TimeJob Shift: DaysUtilization Department Administrator Summary: The Utilization Department Administrator and timely submission of all client service authorizations, ensuring compliance with payer requirements (RBHS and OPT) to prevent revenue denials. This role requires strong leadership and significant collaboration with internal teams to identify and correct front-end authorization issues that contribute to bad debt. 🔑 Key Responsibilities and Duties 1. Authorization Management and Compliance Timely Submission: Ensure all re-authorizations (90-day submissions) are submitted promptly, with a mandatory deadline of 14 days prior to the authorization lapse date. Authorization Tracking: Track and manage all authorizations for both RBHS (Rehabilitative Behavioral Health Services) and OPT (Outpatient Treatment) services. Clinical Collaboration (RBHS): Submit the list of expiring RBHS authorizations to the Clinical Director one month prior to the lapse date to ensure clinical documentation is completed for timely submission. OPT Coordination: Work directly with the Sagar (Insync) team to coor...