Authorization Specialist

The New England Center for Children•Phoenix, AZ

9d•Onsite

About The Position

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.

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.

Nice To Haves

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.

Responsibilities

Obtain initial authorizations, manage reauthorizations, and handle necessary adjustments to ensure continuous care for our clients.
Verifies, monitors, and assist 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.