- Manage the Authorization email, assign new intakes to the appropriate team member, and identify discharged, step-downs and changes in levels of care
- Identify insurance or policy changes that could affect authorization or reimbursement and communicate them to the appropriate team member
- Recognize urgent or time-sensitive authorization matters and ensure they are appropriately addressed
- Submit assigned CareOregon authorization requests through the payer portal
- Accurately enter authorization information into OpenPM
- Review information for accuracy and identify discrepancies, missing documentation, or incomplete information
- Follow assigned items through completion and ensure appropriate documentation is maintained
- Communicate clearly and professionally with treatment facilities, clinical teams, payers, and internal team members
- Learn payer requirements, authorization processes, and behavioral health levels of care
- Provide additional administrative support to the Utilization Review team as needed
Data entry