Administrative Authorizations & Insurance Specialist
Arundel Lodge Behavioral Health · Edgewater, MD · 5 days ago
On-siteAdministrativeFull-time
About The Role Arundel Lodge is seeking an organized, detail-oriented Administrative Authorizations & Insurance Specialist to support our Outpatient Mental Health Clinic (OMHC). This role is essential in ensuring that clients receive uninterrupted behavioral health services by managing insurance verification, authorization processing, and billing support. The ideal candidate is experienced in behavioral health or medical office administration, excels in communication, and is committed to upholding the values of the Recovery Model when interacting with clients and staff. Position Summary Employees are expected to utilize the principles of the Recovery Model in all interactions with persons served. This includes demonstrating hope, personal responsibility, empowerment, empathy, respect, peer support, and the use of non-stigmatizing language. Arundel Lodge provides ongoing training, and performance is evaluated on the application of these values in daily tasks and interactions Primary Responsibilities Verify client insurance eligibility, benefits, and behavioral health coverage prior to service deliveryPrepare, submit, and monitor authorization requests for outpatient mental health services through payer portalsMaintain accurate documentation of authorization approvals, denials, and expiration dates in the EHRCommunicate authorization updates to clinical, administrative, and billing teams to ensure seamless service deliveryReconcile authorizations with scheduled and completed services to ensure compliance and billing accuracyCollect co-payments and outstanding patient balances following agency payment policiesAssist the billing department with claim resolution, identifying discrepancies, and responding to payer inquiriesStay current on payer requirements, authorization processes, and benefit structures across all major insurance providersProvide timely, professional responses to client and staff inquiries related to insurance coverage, authorizations, and account balancesPerform other duties or special projects as assigned by the Practice Manager or agency leadership Work Expectations Adhere to all Arundel Lodge, Inc. policies and proceduresWork independently with minimal supervision while managing multiple prioritiesMaintain proficiency in computer applications, EHR systems, and insurance portal navigationCommunicate clearly and professionally in both verbal and written formatsCollaborate effectively with clinical, administrative, and billing teamsDemonstrate cultural sensitivity and maintain respectful communication with diverse populationsMaintain all required agency clearances (drug screening, TB test, background check, driving record if applicable)Provide front desk registration and appointment scheduling support as needed across multiple locations Experience Minimum 1 year of experience in a behavioral health or medical office setting performing:Insurance verificationAuthorization processingPatient billingProficiency with electronic health record systems (Credible preferred)Experience using payer web portals strongly desired Education & Experience Requirements EducationHigh school diploma or equivalent requiredPost-secondary coursework or certification in healthcare administration, billing, or insurance processing preferred Why Join Arundel Lodge? Mission-driven organization supporting mental health recovery Supportive team culture Training and professional development opportunities Competitive benefits package Department: Outpatient Mental Health Clinic (OMHC) Reports To: OMHC Practice Manager Work Schedule: Monday–Friday, 9:00 AM–5:00 PM Location: Varies Employment Type: Full-Time