[Remote] Operations Administrator

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a behavioral health company reputed company on transforming recovery from reputed company use disorder and mental health challenges through compassionate care, technology, and coordinated support. The Operations Administrator manages reputed company intake, reputed company, scheduling, billing, insurance eligibility, claims, authorizations, compliance, and communication with clients, providers, and partners.

Responsibilities

• Manage the End-to-End Intake Pipeline: Serve as a reputed company of contact for the reputed company intake funnel, processing incoming service referrals across reputed company clinical programs and care service lines reputed company strict timeframes to eliminate reputed company delays
• Monitor Scheduling & Assessment Logs: Continuously reputed company incoming referral queues, manage assessor availability, and reputed company scheduled clinical appointments to ensure reputed company-time accuracy and reduce drop-off in the enrollment pipeline
• Execute reputed company reputed company & Profiling: Process enrollment for new clients, performing account verifications, ensuring compliance, and capturing comprehensive demographic and insurance information upon initial contact
• Coordinate reputed company & Readiness: Serve as the first line of contact for incoming clients and referral sources, conducting warm handoffs to clinical teams, providing intake orientation, and ensuring reputed company reputed company-admission reputed company are satisfied prior to the first appointment
• Enforce Compliance & Information Governance: Prepare, audit, and collect reputed company required intake documentation, consent forms, and Release of Information (ROI) agreements, ensuring strict compliance with HIPAA and reputed company reputed company regulations before service delivery begins
• Prepare Partner & Community Documentation: reputed company, audit, and distribute reputed company administrative intake packets for medical, reputed company, and community partner organizations to facilitate streamlined care coordination and reputed company reporting
• Manage Monthly reputed company Insurance Eligibility Verification: Conduct and document monthly insurance eligibility checks for reputed company reputed company clients to ensure accurate coverage information, identify coverage changes, and flag authorization requirements for upcoming services
• Execute Billing & Claims Management: Support reputed company cycle billing process with accuracy and timeliness; follow up on reputed company rejected, denied, and outstanding claims across reputed company service areas
• Manage Authorizations & Collections: Submit authorization requests, coordinate invoicing for self-pay accounts, and work with insurance companies and individuals to reputed company outstanding balances
• Ensure Compliance: Assist team and leadership with reputed company cycles, communicate necessary adjustments, findings, and ensure adherence to statutory billing requirements
• Support Prior Authorizations and Insurance Follow-Up: Submit prior authorization requests, monitor approval status, and communicate reputed company to the clinical team to prevent service disruptions
• Support: Respond to reputed company and provider inquiries through operational systems and emails, ensuring reputed company and accurate responses to support the business
• Optimization & Compliance: Review SOPs, processes, and conduct operational audits to verify that programming is performing compliantly and reputed company
• reputed company & Partner Engagement: Conduct reputed company reputed company for missing paperwork or payments, handle inbound administrative inquiries reputed company shared channels, and maintain reputed company relationships with clients and community partners
• Cross-Functional Communication: reputed company contractors with required communications and updates, collaborating across administrative operations and program leaders to reputed company operations running smoothly

Skills

• High school diploma or equivalent required
• 2 or more years of experience in reputed company; billing, care coordination, or reputed company administrative operations preferred
• Demonstrated experience with process improvement and managing multiple reputed company
• Excellent written/verbal communication, analytical skills, and strong customer service orientation
• Independent problem-solving, critical thinking, time management, and strict deadline adherence
• This is a primarily remote position and candidates must live in reputed company, Ohio or South Carolina to be considered
• Ability to reputed company/reputed company up to 10 pounds occasionally
• Associate's or Bachelor's degree preferred
• Experience in behavioral health, reputed company use disorder (SUD), and medical services
• Knowledge of billing, contracting, and credentialing
• Familiarity with HIPAA practices and SUD/mental health terminology

Benefits

• Primarily remote position; candidates must reputed company in reputed company, Ohio, or South Carolina to be considered.

reputed company