Authorization Specialist
Neuronetics, Inc. · Delray Beach, FL · 1 wk ago
OTHRFull-time
About Us
Neuronetics, Inc. is a leading mental health company dedicated to transforming lives through innovative treatments. Now joined with Greenbrook Mental Wellness Centers, we offer FDA-cleared NeuroStar® TMS and Spravato® therapies for major depressive disorder and treatment-resistant depression across 95+ clinics nationwide. Together, we’re expanding access to life-changing care—combining cutting-edge technology with clinical expertise to make a real impact in the mental health space.
Responsibilities
- Manage prior authorizations, referrals, appeals, extensions, and reauthorizations from submission through approval.
- Review clinical documentation to ensure submissions meet payer and medical necessity requirements.
- Follow up with insurance carriers to monitor status and resolve authorization issues.
- Coincide with peer reviews, appeals, referrals, and medication access workflows.
- Maintain accurate documentation across EHR, CRM, and related systems.
- Partner with Case Managers and clinical teams to support timely patient care.
Requirements
- Experience with prior authorizations, insurance verification, medical billing, or related healthcare operations.
- Knowledge of commercial, Medicare, and Medicaid payer requirements.
- Strong organizational, communication, and problem-solving skills.
- Ability to manage multiple priorities while maintaining exceptional attention to detail.
- Proficiency with Microsoft Office; experience with AdvancedMD, Salesforce, and Availity preferred.
- TMS, Spravato®, or specialty behavioral health authorization experience.
- Familiarity with REMS and Spravato® With Me programs.
- Knowledge of specialty pharmacy or Buy & Bill workflows.
Qualifications
- Experience with prior authorizations, insurance verification, medical billing, or related healthcare operations.
- Knowledge of commercial, Medicare, and Medicaid payer requirements.
- Strong organizational, communication, and problem-solving skills.
- Ability to manage multiple priorities while maintaining exceptional attention to detail.
- Proficiency with Microsoft Office; experience with AdvancedMD, Salesforce, and Availity preferred.
- TMS, Spravato®, or specialty behavioral health authorization experience.
- Familiarity with REMS and Spravato® With Me programs.
- Knowledge of specialty pharmacy or Buy & Bill workflows.
Skills
- Experience with prior authorizations, insurance verification, medical billing, or related healthcare operations.
- Knowledge of commercial, Medicare, and Medicaid payer requirements.
- Strong organizational, communication, and problem-solving skills.
- Ability to manage multiple priorities while maintaining exceptional attention to detail.
- Proficiency with Microsoft Office; experience with AdvancedMD, Salesforce, and Availity preferred.
- TMS, Spravato®, or specialty behavioral health authorization experience.
- Familiarity with REMS and Spravato® With Me programs.
- Knowledge of specialty pharmacy or Buy & Bill workflows.
Benefits
- Health, dental, and vision insurance.
- Supplemental coverage.
- HSA/FSA accounts.
- Life and disability insurance.
- A 401(k) with company contribution.
Pay
- Salary is commensurate with experience.
Schedule
- The schedule is typically full-time.