Authorization Specialist
About the job
- Responsible for prior authorizations and reauthorization
- Responsible for tracking authorization status and adding to all necessary systems
- Responsible for confirming medical necessity
- Negotiates single case agreements for out of network insurance cases
- Establish and execute systems for maximizing insurance coverage and reimbursement
- Coordinates with clinics and providers to ensure all necessary documentation is being tracked and logged to allow for reauthorization and continued care
- Works with outside pharmacies for Spravato authorization and coverage
- Collaborates and facilitates needed changes to the plan of care/ level changes
- Continuously checks medical policies for changes to medical criteria needed for services
- Assist patients in enrolling into the Spravato REMS program and Spravato Savings Program, JPAP as needed
- Schedule patients for their Spravato induction phase
- Patient communication
- Exhibit a high level of professionalism, empathy, and positivity
From Relief Mental Health's job posting, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.
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About Relief Mental Health
Relief Mental Health hires medical assistants, advanced practice providers and front-office staff in Illinois, New Jersey, Wisconsin and Colorado.
Hires in Illinois, New Jersey, Wisconsin, ColoradoPay on its listings: 55% of its open jobs state an hourly rate
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