Mosaic Pediatric Therapy

Clinic-based ABA therapy for autism

Utilization Management Specialist

Clinical Support & Patient AdministrationPosted on Nov 12

Full-timeCharlotte, NC, USANo salary listedIn-person

About the Job

Requirements

A Bachelor's degree is required.
Experience using electronic medical record applications is preferred, with Central Reach specifically preferred.
Working knowledge of HIPAA regulations is required.
Working knowledge of Microsoft Office or Gmail office tools, including Word, Excel, and PowerPoint, is required.
Strong organization, problem-solving, and time-management abilities are required.
Self-motivation, drive, energy, and good communication skills are required.
The candidate must convey passion for helping children with autism through ABA therapy.

Responsibilities

Conduct authorizations, benefits, and clinic support for new intake and current clients.
Verify client information and benefits.
Email intake packets to new clients and monitor receipt.
Enter accurate demographic, benefit, and authorization information for clients into the operating system.
Request financial agreements from Client Accounts.
Monitor the availability of clinic space and providers.
Coordinate process flow with clinics and providers.
Maintain accurate documentation of service requests, testing, referrals, and authorizations.
Oversee receipt of authorizations and create accurate authorizations in the operating system.
Participate in intake meetings and collaborate with providers and clinics on best intake practices.
Complete authorization renewals.
Verify client eligibility weekly.
Perform other duties as assigned by the intake manager.

Desired Qualifications

Experience using Central Reach electronic medical record applications is preferred.

The Southeast's Premier ABA Therapy Provider for Children with Autism, We are a values-driven company and are dedicated to providing world-class ABA therapy services to our early childhood patients while promoting a positive and supportive culture for our team members. Top 5% nationally in employee satisfaction! Top 3% nationally in client family satisfaction!

The Utilization Management Specialist is responsible for establishing a professional and supportive contact for clients seeking to enter ABA therapy and for current clients receiving ABA services.

Primary Responsibilites:

Conducting authorizations, benefits and clinic support for new intake and current clients.

Preferred Skills and Knowledge:

Excellent organization and problem-solving skills

Experience using electronic medical record applications (Central Reach preferred).

Working knowledge of HIPAA regulations

Excellent interpersonal skills, good oral and written communication skills

Good organization and time management skills

Must have good working knowledge of Microsoft Office or Gmail office tools (Word, Excel, PowerPoint)

Verify client information and benefits

Email Intake packets for new clients and monitor receipt

Enter accurate demographic, benefit, and authorization information for clients into operating system

Request Financial Agreements from Client Accounts

Monitor availability of clinic space and providers

Coordinate process flow with clinics and providers

Maintain accurate documentation of service requests, testing, referrals and authorizations

Oversee receipt of authorizations and creation of accurate authorizations in operating system

Actively participate in Intake meetings and collaborate with providers and clinics for best Intake practices

Complete authorization renewals

Verify client eligibility weekly

Other duties as assigned by the intake manager

Education and Experience:

Bachelor’s Degree

Must be self motivated, driven, bring energy and good communication skills

Must convey a sense of passion about helping children with autism through ABA therapy

Time management and organization

About the Company

Mosaic Pediatric Therapy

Clinic-based ABA therapy for autism

Mosaic Pediatric Therapy provides Applied Behavior Analysis (ABA) therapy for children with autism, operating clinics in North Carolina and Virginia. It offers one-on-one, clinic-based ABA sessions for early intervention (typically under 8) using play-based learning, with care teams of BCBAs and RBTs who create personalized treatment plans and track progress with data. In addition to in-clinic services, Mosaic offers in-home, school-based, community-based therapy, and telehealth, with strong family involvement and parent training to support development at home. The service is fee-for-service and accepts major insurance providers and Medicaid; Mosaic differentiates itself through early age-focused intervention, a clinic network with open play areas for gross motor development, and a data-driven, family-inclusive approach across multiple settings, aiming to improve developmental outcomes for children with autism through accessible, tailored ABA therapy.

Company size: 501-1,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: 2018

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