Senior Prior Authorization

Ataraxis; Cape Town; On-site; ZAR 1,238,646 - 1,816,680; Full time

Job summary

Ataraxis is seeking a Senior Prior Authorization Specialist & Team Lead to support behavioral health practices with insurance verification and eligibility. This remote, full-time role operates on US Eastern hours, requiring strong English communication, meticulous documentation in the EHR, and leadership to train new verification specialists.

Key duties include verifying eligibility and benefits, reviewing copays, deductibles, session limits, telehealth coverage, and prior authorizations;

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.
• Strong English communication and attention to detail.

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

Strong English

Documentation in EHR

Tools

SimplePractice

TherapyNotes

Job description

About the job Senior Prior Authorization

Remote | Full-Time | US Eastern Hours

We're looking for an experienced Senior Prior Authorization Specialist & Team Lead to support behavioral and mental health practices with insurance verification and eligibility.

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

Requirements:

• 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