Authorization Specialist

Location & Schedule

North Miami, Florida (In-person)

Company Snapshot

Headquartered in North Miami, Paradigm Senior Services simplifies and streamlines operations for home care providers. By serving as a full back-office solution for home care providers, we support them in being able to focus their efforts on caring for their clients. Our team and service offerings are growing in a fast-paced environment. Paradigm Senior Services is an equal opportunity employer.

Position Summary

The Authorization Specialist plays a key role in ensuring seamless operations regarding the authorizations and eligibility of our customers’ clients. This person is responsible for handling eligibility verification, authorization renewals, missing client or claims issues, conducting authorization research, and participating in the customer onboarding process. This position will report to the VA Billing and Authorization Manager.

Essential Duties And Responsibilities

• Ensure 90% of requested authorizations are successfully renewed
• Identify and address missing clients and/or claims from reports within Paradigm’s billing management tool
• Enter authorization information into Paradigm's system and the customer’s scheduling software to ensure an accurate and seamless billing process
• Demonstrate strong communication skills when responding to customer emails using the ticketing system
• Communicate with customers via email, phone, and video calls to ensure their satisfaction
• Research the authorization renewal process at VA Medical Centers to better understand their processes and improve Paradigm’s authorization renewal processes for handling VA authorizations
• Determine eligibility for our customers’ Medicaid clients to ensure their eligibility to receive service
• Conduct virtual weekly meetings with customers to facilitate the authorization management service onboarding process
• Work cross-functionally to ensure the execution of all responsibilities and support team members
  
  

Experience And Skills

• Minimum 1 year of experience working in health care
• Minimum 1 year of customer service experience
• Strong problem-solving skills
• Excellent organizational skills and attention to detail
• Excellent follow-up, time management, and communications skills
• Proficiency in MS Office Suite (Outlook, Word, Excel) required
  
  

Education And Qualifications

• High school diploma required
  
  

Paradigm Offers

• Medical, dental, and vision benefits
• Paid time off
• 401k retirement plan
• Remote work opportunities
• Support for professional growth and development
  
  

Compensation

$50,000-$55,000 depending on experience