Pediatric Case Coordinator

Our Ideal Pediatric Case Coordinator :

Are you detail-oriented and organized? Have the ability to multitask efficiently? Enjoy working independently and as part of a team?

Want to work for a company with a strong mission of helping children with special needs?

Interested?

If this sounds like you, please apply today!

Founded in 1995, Achieve Beyond nationally meets the needs of children by providing the highest quality of pediatric therapy and autism services.

Our providers and administrative staff are dedicated to our mission of helping children and families and we are looking for smart, innovative, and driven candidates to join our team.

Achieve Beyond is centered around our culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards.

Job Summary :

Responsible for all ABA / RS cases for insurance and private pay; managing from start of service to discharge / termination.

Essential Duties and Responsibilities :

• Regular communication with office staff and therapists via email / phone.
• Monthly Verification of Eligibility
• Annual verbal verification of all insurance for all cases (may require overtime)
• Place cases on-hold if there are authorization issues, and notifying family and office staff
• Run authorization reports to ensure that all authorizations are accurate and to determine authorizations that will be expiring soon
• Collection / tracking of all therapist reports i.e., assessments, reassessments, discharge, and termination
• Ongoing insurance verification & obtaining approval of new authorizations with appropriate insurance codes
• Send reminders to providers with upcoming due dates for reports
• Request and obtain new authorizations (enter into database)
• Submit requests to insurance companies for re-authorization / appeals; tracking due dates
• Enter insurance changes & verifications into database
• Quality Assurance-quarterly audits
• Ongoing prescription tracking
• Ensure that all child status' are up-to-date (active / inactive)
• Periodic check of office data entry to ensure all cases are in good working order
• Other duties as assigned by manager

Our Mission :

At Achieve Beyond : We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities.

We are always striving for continuous improvement by setting goals and measuring performance. It is the reason we will succeed together.

Qualifications and Other Requirements :

• Office experience preferred
• Excellent verbal, written, and interpersonal communication skills
• Strong organizational, time-management, and analytical skills
• Proficient in Microsoft Office (Word, Excel, Outlook)
• Ability to work in a fast-paced environment

Physical Requirements :

• Occasionally ascends / descends stairs going to, while at, or leaving work location or facilities traveled to for work events.
• Must be able to remain in a stationary position for prolonged periods of time up to 90% of the work day working on a computer / electronic device.
• The ability to observe details at close range (within a few feet of the observer).
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

Benefits Include :

• Comprehensive medical, dental, and vision coverage, and 401 with employer match
• Short- and long-term disability coverage as well as life, flex spending, and commuter benefits
• Paid time off, sick time, and holiday pay
• Various Employee Discounts on Entertainment and Equipment
• Educational reimbursement and referral bonuses
• Structured initial training.
• Monthly administrative events and so much more!
• Compensation : Full-time hourly non-exempt $20-22 per hour
• Hours : Monday-Friday 9 : 00am-5 : 30pm Must Be Willing To Work Overtime As Needed. This position would require clinic coverage one day a week between the hours of 11 : 00am-7 : 30pm.

This position is in office.

Job Description is Subject to Change.

This job description is subject to change at any time.

Achieve Beyond provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type regarding race, color, religion, age, sex, national origin, disability status, genetics, caregiver status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

If you are an individual with a disability requesting accommodation for the application process, please contact us for assistance.