Authorization Specialist

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage for MAT and behavioral health services.
• Obtain initial and continued service authorizations from insurance carriers and managed care organizations.
• Monitor authorization expiration dates and submit renewal requests to prevent gaps in treatment.
• Maintain accurate authorization records within the electronic health record (EHR) and billing systems.
• Communicate with clinical staff regarding authorization requirements, denials, and approval status.
• Review medical documentation to support authorization requests and appeals.
• Follow up on pending authorizations and resolve insurance-related issues promptly.
• Assist with denial management, appeals, and payer correspondence.
• Ensure compliance with payer guidelines, regulatory requirements, and organizational policies.
• Generate reports and track authorization metrics to support operational and financial performance.

Requirements

Regular, predictable attendance is considered to be an essential requirement for this position.

Qualifications

• High School Diploma or GED equivalent required.
• Current and valid driver's license and a clean driving record.
• Insurance verification, authorization, or healthcare billing experience preferred.

Skills

N/A

Benefits

• Medical, Dental, and Vision insurance
• Generous vacation/holiday/sick leave
• Life and Short-term/Long-term Disability Insurance
• Employee Assistance Program (EAP)
• 403(b) retirement account
• Gold's Gym membership discount
• Mileage reimbursement

Pay

$23.03 an hour, plus an additional 10% crisis stipend.

Schedule

Full-Time
Workdays: Monday - Thursday
Workhours: 6:00AM - 3:00PM