Behavioral Health UR Coordinator & Authorization Pro

Sanctuary Recovery Centers

Phoenix (AZ)

On-site

USD 33,000 - 40,000

Full time

4 days ago
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Job summary

Sanctuary Recovery Centers in Phoenix, AZ is seeking a detail-oriented Utilization Review Coordinator/Authorization Representative with clinical experience to manage authorizations and ensure medical necessity documentation for behavioral health services. This in-office role requires adherence to AHCCCS guidelines and timely filing requirements.

You will coordinate authorizations, track progress, and collaborate with clinical staff and payers to ensure seamless patient care while maintaining

Qualifications

  • Minimum of 2+ years in utilization review or behavioral health administration
  • Clinical experience (peer support or clinician) preferred
  • Strong knowledge of AHCCCS requirements and guidelines
  • Experience with payer-specific timely filing rules
  • Ability to manage high caseloads and work independently

Responsibilities

  • Obtain, track, and manage initial and concurrent authorizations for behavioral health services
  • Coordinate and complete utilization review processes in compliance with AHCCCS guidelines
  • Submit timely and accurate authorization requests with payer-specific filing requirements
  • Monitor authorizations for expiration and manage concurrent reviews to prevent gaps in coverage
  • Communicate with clinical staff, payers, and case managers to gather documentation and ensure continuity of care
  • Maintain accurate records in the EHR and authorization tracking systems
  • Review clinical documentation for completeness and medical necessity alignment
  • Manage high volume of cases and priority tasks to meet deadlines
  • Follow up on pending authorizations, denials, and appeals as needed
  • Ensure compliance with federal, state, AHCCCS regulations and internal policies

Skills

Utilization review
AHCCCS compliance
EHR systems

Tools

EHR systems

Job description

Sanctuary Recovery Centers in Phoenix, AZ is seeking a detail-oriented Utilization Review Coordinator/Authorization Representative with clinical experience to manage authorizations and ensure medical necessity documentation for behavioral health services. This in-office role requires adherence to AHCCCS guidelines and timely filing requirements.

You will coordinate authorizations, track progress, and collaborate with clinical staff and payers to ensure seamless patient care while maintaining

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