Enrollments and Authorizations Specialist - Flexible Schedule

Enrollments and Authorizations Specialist - Full Time - Remote

Join a supportive team who values collaboration, professional growth, & serving our community!

As our Enrollments and Authorizations Specialist, you will ensure all areas related to service authorizations are completed and submitted per the expectations of the agency, MCO, and state service definitions. Additionally, the Enrollments and Authorizations Specialist will support utilization management and quality assurance initiatives for assigned programs.

Pay

Starting at $20.00 per hour.

Schedule

Full- time, remote. 40 hours per week.

Benefits

Being a part of a non-profit behavioral health organization has some unique benefits, along with our incredible health insurance options. Working here at SouthLight, you will be able to make a difference in people's lives every day, and know that you are a part of inspiring positive change in your community.

You will be eligible for medical benefits the first of the month following your first 30 days. We have options for a standard plan, as well as an HSA with a $300 initial contribution and up to a $25 per paycheck match. You would receive 10 paid holidays as well as PTO hours which would accrue at a rate of 10 hours per month. After 6 months you would be eligible to enroll in our 401(k) plan which has a 4% match. We also provide company paid life insurance, short- and long-term disability, in house and paid training opportunities, and paid credentialing. SouthLight is also eligible for the Public Service Loan Forgiveness Program (PSLF).

Job Responsibilities of an Enrollments and Authorization Specialist

• Fluent and knowledgeable of service definitions with a focus on MAT/OTP, CST, PSS, SAIOP and SACOT
• Coordinate with staff members for the collection of all relevant/required documents and information needed to compose Service Authorization
• Audit authorization documents for accuracy, ensuring criteria for service being requested has been met (ASAM, LOCUS, signatures, etc.)
• Submit IPRS Enrollments and Target Pop Updates, as needed
• Support program managers and staff in monitoring authorization due dates and required timeframes
• Assist Leads/Managers in obtaining and disseminating reports related to billing, NC TOPPS, and authorization related information.
• Maintain necessary charts/information relevant to authorizations, referrals, discharges for multiple teams
• Establish/maintain relationships with a comprehensive, targeted listed of providers and other relevant community organizations
• Ensure compliance for NC TOPPS submissions and updates by supporting staff through monitoring and accountability
• Maintain Electronic Health Record Client Data for completeness and accuracy with the use of system generated reports
• Participate in regular supervision and required trainings as necessary for position

Qualifications of an Enrollments and Authorization Specialist

Education and Experience

• Minimum of Bachelor's Degree in human services field
• Two years' experience working with the MH/SU population (directly or indirectly)
• Two years' experience working in community mental health setting preferred

About SouthLight Healthcare

Tap into your passion at SouthLight Healthcare. Build your career in an environment where your voice, passion and work matters every day. At the core of SouthLight is a commitment to our values, our employees and clients. We strive to be an organization where every colleague can contribute and excel. We are an equal opportunity employer and committed to building a culture that values diversity and inclusion. SouthLight offers competitive opportunities and a robust benefits package.

Founded in 1970, SouthLight Healthcare is one of the area's largest and long-established nonprofit providers of substance use treatment and mental health services. With outpatient and community-based programs, SouthLight provides prevention, education and treatment services in the Triangle and beyond. SouthLight has multiple office locations throughout the Triangle area, serving more than 9,000 clients each year. Services include adult outpatient counseling, Intensive Outpatient Program, Psychiatric Services and Medication Management, Opioid Treatment Program, Court Deferral Program, Peer Support Services, Family Centered Treatment, Community Support Team and a residential treatment program for women and children and more.

How to Apply

You may apply at our website: https://www.southlight.org/careers & click "View Current Openings". You can also sign up for job alerts!