Prior-Authorization Coordinator

Job Description

Job Description

Description :

PAX Health is a leading mental and behavioral health organization dedicated to providing comprehensive and compassionate care to individuals facing mental health challenges. Our mission is to prioritize mental health, eliminate stigma, and help individuals—especially children and adolescents—thrive on their path to emotional and psychological well-being.

The Authorization Coordinator is responsible for obtaining and verifying prior authorizations for services and procedures for workers' compensation insurance as well as commercial plans. This role ensures that all approvals are secured from all necessary parties.

Responsibilities :

• Obtain prior authorizations for services, procedures, and medications from all necessary parties.
• Maintain accurate and up-to-date records of all authorization requests and approvals.
• Communicate with all necessary parties to resolve any issues related to authorizations.
• Track and follow up on pending authorization requests to ensure timely approvals.
• Ensure all authorization processes comply with relevant regulations and payer requirements.
• Assist all necessary parties with authorization-related inquiries and issues.
• Generate and analyze reports on authorization activities and outcomes.
• Comply with local, state and federal confidentiality laws and regulations
• Collaborate with professionals both within and outside the agency, as appropriate
• Demonstrate sensitivity and responsiveness to cultural differences
• Abide by Pax Health code of ethics and model values
• Other duties as assigned

Requirements : Requirements :

Equal Opportunity Employer (EOE) Statement for PAX Health

Pax Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to providing a diverse and inclusive work environment where all employees are valued, respected, and treated fairly. Employment decisions are based on qualifications, merit, and business needs, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. We comply with all applicable federal, state, and local laws governing nondiscrimination in employment.