OMHC Prior Authorization Specialist at Enterprise Management Solutions, Inc | chakrie

Requirements

Minimum of one (1) to two (2) years of experience in healthcare administration, medical prior authorizations, insurance verification, or patient intake coordination.
Experience with outpatient mental health (OMHC), behavioral health, psychiatric rehabilitation (PRP), or primary care authorizations preferred.
Experience working with Maryland Medicaid, Managed Care Organizations (MCOs), or commercial insurance authorization processes preferred.
Experience using electronic health record (EHR) systems and payer portals is highly desirable.

High school diploma or equivalent required.
Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field preferred.
Ability to successfully complete required background and reference checks.
Knowledge of prior authorization and insurance verification processes.
Familiarity with Maryland Medicaid and Managed Care Organization (MCO) authorization requirements.
Understanding of outpatient behavioral health and medical terminology.
Strong attention to detail and organizational skills.
Excellent time management and ability to manage multiple authorization requests simultaneously.
Strong written and verbal communication skills.
Ability to prioritize tasks and meet strict deadlines.
Proficiency with electronic health records, payer portals, Microsoft Office, and Google Workspace.
Strong problem-solving and follow-up skills.
Ability to work independently in a fast-paced remote environment.
High level of professionalism, confidentiality, and integrity.

Responsibilities

A clear overview of what is expected, written by the people who posted it, with every detail you need to decide.

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

Skills & expertise

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

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Salary & benefits

A clear overview of what is expected, written by the people who posted it, with every detail you need to decide.

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

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