Specialist II, Authorizations

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever.

About the role

This position will help ensure clients get timely access to care by keeping authorization data accurate and current across Grow's behavioral health claims. You will be responsible for entering and validating authorization packets, resolving missing Client ID and authorization-on-file issues, and auditing BPO throughput and accuracy. You will report directly to the Authorization Supervisor and work closely with the Billing and Eligibility teams. From day one, you'll have real ownership and the opportunity to help build an authorization function that supports Grow's mission of expanding access to mental healthcare.

Responsibilities

• Processing incoming authorization packets and medical records requests, entering and validating data against source documents.
• Resolving missing Client ID and authorization-on-file issues, coordinating with VAMCs, Community Care, and EAP partners as needed.
• Auditing BPO authorization entry for accuracy and tracking performance against productivity standards.
• Researching and resolving authorization-related claim denials, identifying trends and escalating systemic issues with supporting evidence.
• Submitting and tracking RFS forms and other renewal or reauthorization requests.
• Maintaining accurate, up-to-date authorization records across internal systems.
• Partnering with Billing and Eligibility to keep claims moving cleanly through the Pre-Bill process.

Requirements

• 2+ years of medical billing, authorization, or patient access experience.
• Strong attention to detail and ability to catch mismatched service types, expired date ranges, and missing session counts before they become denials.
• Comfortable working across multiple systems (Fax platforms, EHR, payer portals) at once.
• Process-driven and able to document decisions accurately at volume, rarely leaving questions unanswered.
• A team player who works closely with Billing and Eligibility to resolve issues quickly.
• Comfortable meeting quantitative productivity standards and adapting to changing priorities.
• Thrive working independently in a fast-paced, still-being-built environment.

Nice-to-have

• Prior VA/Community Care Network or government payer authorization experience.
• Prior EAP authorization experience (Cigna, Octave, or similar).
• Experience at a startup or high-growth company.

Pay

The hourly compensation rate for this position is $26.44 per hour.

Schedule

This role is fully remote with travel 2–3 times per year (e.g., company and department offsites).

Benefits

• Health Benefits: Comprehensive medical, dental, vision, life, and disability coverage.
• Grow for Grow: No cost access to therapy through the Grow platform (available to US employees).
• Financial Wellness: Retirement savings programs and equity opportunities to help you invest in your future.
• Flexible Time Off, Paid Holidays & Winter Break: Flexible time off, company paid holidays (which vary by country), and a full company-wide Winter Break to rest and recharge.
• Parental Leave: Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend.
• Mental Health Mornings/Afternoons: Dedicated weekly flexible time for self-care, whether that's therapy, exercise, journaling, time with family, or simply taking a break.
• Wellness & Development Stipend: Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources.
• Commuter Benefits: Pre-tax commuter benefits to support teammates working from one of our hub locations.
• Home Office & Meals: Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub-based employees.
• Additional Perks: A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance.