Outpatient Therapy Authorization Specialist

International Executive Service Corps; Lawton (OK); On-site; USD 42,000 - 56,000; Full time

Job summary

International Executive Service Corps in Oklahoma is seeking a Utilization & Authorization Review Coordinator to manage end-to-end authorization for outpatient therapies, acting as a bridge between therapy teams, patients, and payors.

The role emphasizes ensuring medical necessity, preventing denials, and optimizing care within plan guidelines. A high school diploma is required, with college degree preferred; 2+ years in utilization management and computer proficiency are expected.

Qualifications

• Requires 2+ years in healthcare utilization management.
• High school diploma; college degree preferred.
• Clinical licensure preferred.
• Proficient computer skills required.

Responsibilities

• Manage end-to-end authorization for outpatient therapies.
• Bridge between therapy team, patients, and payors to secure approvals.
• Prevent claim denials and optimize care delivery within plan guidelines.
• Review records for Intensity of Service and Severity of Illness against criteria.
• Assist staff with potential denials and complete the review updates.
• Obtain authorization and current plan of care documents.

Skills

Healthcare utilization management

Computer proficiency

Medical coding (ICD, CPT)

Payor web portals

Education

High school diploma

College degree preferred

Clinical licensure preferred

Job description

International Executive Service Corps in Oklahoma is seeking a Utilization & Authorization Review Coordinator to manage end-to-end authorization for outpatient therapies, acting as a bridge between therapy teams, patients, and payors.

The role emphasizes ensuring medical necessity, preventing denials, and optimizing care within plan guidelines. A high school diploma is required, with college degree preferred; 2+ years in utilization management and computer proficiency are expected.