Specialist II, Authorizations
New
G
Grow TherapyMental Healthcare
RemoteFull-TimeMiddle
Salary26.44 USD per hour
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Job Details
- Experience
- 2+ years
- Required Skills
- EHR
Requirements
- 2+ years of medical billing, authorization, or patient access experience.
- Strong attention to detail, specifically with matching service types, date ranges, and session counts.
- Comfortable working across multiple systems including fax platforms, EHR, and payer portals.
- Process-driven with the ability to document decisions accurately at volume.
- Ability to meet quantitative productivity standards.
- Thrive working independently in a fast-paced environment.
- Team player capable of working closely with internal departments.
- Adaptable to changing priorities.
- Available for travel 2–3 times per year for company offsites.
Responsibilities
- Process incoming authorization packets and medical records requests, entering and validating data against source documents.
- Resolve missing Client ID and authorization-on-file issues, coordinating with VAMCs, Community Care, and EAP partners as needed.
- Audit BPO authorization entry for accuracy and track performance against productivity standards.
- Research and resolve authorization-related claim denials, identifying trends and escalating systemic issues with supporting evidence.
- Submit and track RFS forms and other renewal or reauthorization requests.
- Maintain accurate, up-to-date authorization records across internal systems.
- Partner with Billing and Eligibility to keep claims moving cleanly through the Pre-Bill process.
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