MeBe

Insurance

• Directly manage authorization requests for Applied Behavior Analysis, Speech Therapy, and Occupational Therapy services.
• Enter authorizations into our EMR (CentralReach)
• Work cohesively with clinicians & Family Success team members to ensure approvals are processed in a timely manner during onboarding and re-authorization periods.
• Effectively communicate benefit and authorization information between clinicians and the Family Success department.
• Ensure that department metrics are updated daily/weekly with upcoming authorization expirations and treatment report submissions.
• Oversee eligibility reports.
• Accurately identify and correct problems related to eligibility and authorizations.
• Provides concierge-level customer service while interacting with insurance company representatives.
• Oversee and perform various clerical and administrative tasks related to authorizations and associated issues that require initiative and independent judgment.
• Respond to day-to-day operational requirements in a professional and timely manner.
• Other duties as assigned

Insurance Authorization Specialist

Compliance

• Auditing up to 100 employee timesheets daily to ensure accuracy and compliance with California labor laws.
• Reviewing meal and rest break compliance and identifying missed, late, or noncompliant breaks.
• Cross-referencing timesheet data between CentralReach and Paylocity to ensure consistency.
• Identifying, documenting, and flagging timesheet discrepancies such as missed punches, overtime issues, and pay code errors.
• Communicating audit findings and compliance notifications clearly and professionally via email.
• Supporting compliance documentation and audit tracking for operational and payroll accuracy.
• Escalating complex or unresolved compliance issues to leadership as needed.
• Utilizing Paylocity and CentralReach reporting tools to support audit and review processes.
• Providing limited scheduling and call-out coverage support for California regions when required.
• Working closely with the Operations team while maintaining ownership of individual audit responsibilities.
• Lead trainings or meeting related to job tasks at the direction of timesheet support specialists

Insurance Authorization Specialist

Timecard Compliance Coordinator