Behavioral Health UR Coordinator & Authorization Specialist

Sanctuary Recovery Centers; Phoenix (AZ); On-site; USD 33,000 - 40,000; Full time

Job summary

Sanctuary Recovery Centers in Phoenix is seeking a Utilization Review Coordinator / Authorization Representative with clinical experience to manage authorizations for behavioral health services. You will ensure medical necessity documentation and AHCCCS compliance, coordinating with clinicians, payers, and case managers.

This in-office role requires sharp organization, timely filing, and the ability to handle a high caseload in a fast-paced environment. Monday–Friday schedule offered.

Qualifications

• Minimum of 2+ years of experience in utilization review, authorizations, or behavioral health administration.
• Clinical experience (peer service, clinician, etc.) could aid in review of clinical necessity.
• Strong knowledge of AHCCCS requirements, including authorization processes and compliance standards.
• Experience with timely filing requirements and payer-specific guidelines.
• Ability to manage high caseloads and concurrent reviews in a fast-paced environment.
• Familiarity with behavioral health levels of care (RTC, PHP, IOP, outpatient).
• Excellent organizational skills and attention to detail.
• Strong written and verbal communication skills.
• Experience with EHR systems and authorization tracking tools.

Responsibilities

• Obtain, track, and manage initial and concurrent authorizations for behavioral health services.
• Coordinate and complete utilization review processes in AHCCCS guidelines and medical necessity criteria.
• Submit timely and accurate authorization requests, adhering to payer-specific timely 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 necessary documentation.
• Maintain accurate records in the EHR and authorization tracking systems.
• Review clinical documentation for completeness and alignment with medical necessity standards.
• Manage a high volume of client cases and prioritize tasks to meet deadlines.
• Follow up on pending authorizations, denials, and appeals as needed.
• Ensure compliance with all federal, state, AHCCCS regulations and internal policies.

Skills

Utilization review

Authorizations

Behavioral health administration

AHCCCS compliance

Timely filing

EHR systems

Authorization tracking tools

Tools

EHR systems

Authorization tracking tools

Job description

Sanctuary Recovery Centers in Phoenix is seeking a Utilization Review Coordinator / Authorization Representative with clinical experience to manage authorizations for behavioral health services. You will ensure medical necessity documentation and AHCCCS compliance, coordinating with clinicians, payers, and case managers.

This in-office role requires sharp organization, timely filing, and the ability to handle a high caseload in a fast-paced environment. Monday–Friday schedule offered.