Senior Prior Authorization Lead - Mental Health (Remote)

Ataraxis; Davao City; On-site; PHP 3,980,000 - 5,818,000; Full time

Job summary

Ataraxis is seeking a Senior Prior Authorization Specialist & Team Lead to support behavioral and mental health practices with insurance verification and eligibility. This remote role targets US payer processes and requires strong leadership and mentorship.

You will verify benefits, review authorizations, document in the EHR, resolve discrepancies, and train new verification specialists while communicating clearly across teams during US Eastern hours.

Qualifications

• Experience in US medical insurance verification, billing, or revenue cycle.
• Behavioral/mental health experience required.
• Knowledge of insurance eligibility, payer portals, and prior authorization.
• Experience with SimplePractice or TherapyNotes is a plus.
• Strong English communication and attention to detail.
• Ability to work US Eastern hours.

Responsibilities

• Verify insurance eligibility and benefits
• Review copays, deductibles, coinsurance, session limits, telehealth coverage, and prior authorizations
• Accurately document benefits in the EHR
• Resolve eligibility discrepancies and flag potential issues
• Help train and support new verification specialists

Skills

Insurance verification

Team leadership

EHR documentation

US hours

English proficiency

Attention to detail

Tools

SimplePractice

TherapyNotes

Job description

Ataraxis is seeking a Senior Prior Authorization Specialist & Team Lead to support behavioral and mental health practices with insurance verification and eligibility. This remote role targets US payer processes and requires strong leadership and mentorship.

You will verify benefits, review authorizations, document in the EHR, resolve discrepancies, and train new verification specialists while communicating clearly across teams during US Eastern hours.