Insurance Authorization and Billing Specialist in Port Clinton, Ohio at Unity Behavioral Health

Why Choose Unity?

Are you a highly motivated and empathetic professional seeking a rewarding career with an organization committed to a healthy work culture? At Unity, we’ve committed and dedicated ourselves to creating a great working environment through engagement with the Predictive Index and through our cultural commitments of Open Communication, Social Responsibility, Growth & Change, Safety & Security, & Integrity. Unity personnel create a meaningful impact in the lives of individuals and families in the community through diverse service delivery.

Job Summary:

This position focuses heavily on thoughtful work, careful adherence to defined processes, and the ability to produce repeatable results.

The work is highly precise in nature and requires a very strong attention to detail. Any output must be extremely high quality, with correct results time and time again. Someone in this role must check and double-check their work. They must also be patient and conscientious, with a commitment to highly polished, well-presented work.

Requirements for this role are unambiguous. It is very clear what needs to be done and what success looks like. This clarity tends to come either from management or from existing processes. Established systems and procedures must be followed very closely; there is little room or necessity to modify them.

Much of the work can be accomplished by working at a steady, even pace. Expect consistency and familiarity from one day to the next. It is generally feasible to plan large blocks of work ahead of time. When work duties do change, there is ample time to prepare.

This job is best accomplished individually, without much dependence on other people to get results. Anyone in this role should be helpful in nature, providing support or service in an environment free from competition. When interacting with others, particularly customers, this person should be pleasant and professional, with a focus on seeing work through correctly.

Job characteristics

• Conducts work at a steady, even pace, with a degree of predictability from one day to the next. Requires focus on repetitive tasks and consistent actions, with adherence to well-defined processes and procedures.
• Maintains people-orientation, even if reserved in nature. Must be helpful and service-oriented, with a strong focus on repeatable, high-quality results.
• Decision-making is collaborative, but meticulous, requiring consideration of facts, established procedures, and proven processes. Must rely on existing knowledge or training to help make decisions.
• Communicates factually, professionally, and politely, speaking in detail only about areas of responsibility. Little collaboration is required, except when sharing expertise from their unique training, knowledge, and experience.
• Delegates authority and responsibility, even in leadership positions. Must be comfortable working in a team environment, but will rarely need to delegate details. When delegating, follow up must ensure quality and accuracy. Should emphasize expertise when leading others, using it to promote learning and development.

• Manage the prior authorization process from initial submission through approval, denial, or resolution, including submitting required documentation and following up with insurance companies.
• Monitor authorization status, approved units, service dates, and expiration dates to help prevent gaps in services or billing.
• Maintain accurate, organized records of authorizations, insurance communications, and related documentation within Unity’s systems.
• Review insurance requirements and correspondence for accuracy, completeness, and missing information, coordinating with clinical and administrative staff when additional documentation is needed.
• Follow established workflows and procedures for authorization submission, tracking, follow-up, and documentation, while identifying issues that require management attention.
• Assist with client billing and invoicing, including reviewing charges for accuracy, preparing invoices, and helping resolve basic billing questions or discrepancies.
• Conduct routine quality checks to ensure billing and authorization information is accurate, complete, and properly documented.
• Communicate professionally and courteously with insurance representatives, clients/families, and Unity staff.
• Take ownership of assigned tasks and follow through consistently until issues are resolved, ensuring that authorization requests, follow-ups, and billing items do not fall through the cracks.

Minimum Requirements:

• Experience with insurance authorizations and billing
• Ethical Commitment: Strong dedication to ethical practice and maintaining client confidentiality.
• Ability to pass a BCI/FBI background check
• Active Drivers License