New River Valley Community Services

  • Clinical Authorization Specialist

    Job Location US-VA-Blacksburg
    Job ID
    2018-2180
    # of Openings
    1
    Salary Details
    $38,133 - $42,041 annually; depending on experience
    Location
    US-VA-Blacksburg
  • OVERVIEW

    Provides administrative support, coordinates submission of billing pre-authorizations for services, and assists with quality assurance functions for Clinical Services at NRVCS. Works to provide necessary clinical information, including diagnostic information in working with managed care organization Care Coordinators and claims departments necessary for service authorization and payment of claims for behavioral health services. Gathers needed information from internal providers to support peer to peer review of claims when needed. Works with the Clinical Services Director to monitor quality and volume of services delivered and reimbursement rates. Works with NRVCS reimbursement and accounting services on claims as needed.

    QUALIFICATIONS

    Master’s Degree in a license eligible field or licensed as a clinical social worker or professional counselor. Strong organizational, clinical, and administrative skills needed.

    SALARY & BENEFITS

    NRVCS offers an excellent benefits package including:
    •Generous Paid Time Off
    • Health, Vision, and Dental Insurance
    • Life Insurance
    • VRS Retirement

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