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Relief Mental Health
Authorization Specialist
10 days ago
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Important information
Contract type:
Permanent
Location:
Oak Brook, IL, USA
Work mode:
Onsite
Published on:
13 October 2026
What they need
- 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
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