RCM Authorization Specialist
About The Position
Isaiah House is a faith-based and Christ-centered nonprofit organization. Employees are expected to conduct themselves in a manner consistent with our mission, values, and standards of conduct. We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, national origin, sex, disability, or any other status protected by applicable law. An RCM Authorization Specialist ensures timely insurance approvals and helps prevent delays in care. They protect revenue by managing authorizations and reducing denials. Their work supports compliance and smooth communication between payers and internal teams. Employees receive benefits that include: Medical, dental, and vision insurance Basic life insurance 401(k) Option Paid holidays PTO after 90 Days Additional Information: Schedule: Full-time, Monday - Friday, 8:00 - 4:30pm Work Environment: Hybrid Travel Requirements: Some travel may be needed
Requirements
- High school diploma or GED
- Familiarity with ICD-10-CM, DSM-V, CPT/HCPCs, substance abuse and behavioral health treatment
- Willingness to obtain and maintain proficiency in Isaiah House policy, procedures, and programs
- Knowledge of various web browsers, electronic health records/payment management systems, Excel, Word, Outlook, and various provider portals – Availity,KYMMIS, etc
Responsibilities
- Eligibility & EHR Management: Verify insurance eligibility and benefits and maintain accurate updates in the EHR
- Authorizations & Utilization Review: Submit, track, and reconcile initial and concurrent authorizations per payer guidelines; coordinate peer-to-peers when needed
- Documentation & Payer Communication: Submit discharge summaries within required timeframes and communicate with payers and internal teams regarding authorizations and denials
- Reporting & Compliance: Complete assigned reports, identify and report trends or issues, and ensure compliance with state, federal, and organizational standards while maintaining confidentiality
- Productivity & Team Support: Work independently to manage daily tasks, prioritize workload, support organizational goals, and complete additional duties as assigned
Benefits
- Medical, dental, and vision insurance
- Basic life insurance
- 401(k) Option
- Paid holidays
- PTO after 90 Days
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1-10 employees
