Authorization Specialist

About the role

We are open to early-career professionals and seasoned specialists with extensive industry experience! On-site Phoenix, AZ At SARRC, we are dedicated to advancing research and providing support for individuals with autism and their families. We are looking for a detail-oriented Authorization Specialist who thrives on precision and plays a critical role in ensuring our clients receive the services they need through seamless funding management. As an Authorization Specialist, you are the bridge between clinical services and sustainable funding. Your expertise in insurance landscapes ensures that every client’s record is accurate, every authorization is secured, and every billing hurdle is proactively cleared.

Responsibilities

• Obtain initial authorizations, manage reauthorizations, and handle necessary adjustments to ensure continuous care for our clients.
• Verifies, monitors, and assists with insurance verification as needed to ensure payment for services.
• Navigate complex insurance landscapes and provide essential support in managing and resolving claim denials.
• Identify errors in funding documentation and implement corrections to maintain the highest standards of record accuracy.
• Ensure all client funding information is documented accurately and within required timelines to prevent billing delays.

Requirements

• High School diploma or GED
• Minimum of two (2) years of experience in a medical billing environment within a medically specialized enterprise.
• Knowledge of insurance guidelines; including Medicare, HMO, PPO, Behavioral Health carve-outs, Arizona Medicaid (AHCCCS) and EAP services.
• Knowledge of CPT, ICD-10, HCPCS coding.

Qualifications

• Associates Degree preferred (years of experience may be considered).
• Three (3) and more years of experience preferred.
• Knowledge of diagnostic testing, medical terminology, and Behavior Analytic treatment for individuals with Autism Spectrum Disorder.
• Knowledge of ABA CPT codes is preferred.

Skills

• Expert Knowledge of Funding Sources: Deep understanding of insurance providers, clinical funding requirements, and the authorization lifecycle.
• Analytical Precision: A "hawk-eye" for detail with the ability to spot discrepancies in complex data and rectify them quickly.
• Proactive Problem Solving: The ability to troubleshoot denials and navigate the nuances of insurance appeals and adjustments.
• Organization & Timing: Exceptional time-management skills to meet strict deadlines for reauthorizations and documentation.

Benefits

• Up to 16 days per year paid time off and 8 paid holidays
• Medical, dental and vision insurance (majority of coverage paid for by SARRC)
• 401(k) with 50% company match up to 6%
• Internal job growth opportunities
• Professional development annual benefit of $1000

Pay

Salary Starts at $20/hr Higher Compensations Tiers Offered Depending On Experience.

Schedule

Hours Monday - Friday, Full-time Hours of operations: 8:00am - 5:00pm