Authorization Specialist

About Us

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. The need for accessible mental healthcare has never been greater, and we are building a team of entrepreneurs and mission-driven go-getters to make our vision a reality. Since launching in February 2021, we have empowered over ten thousand therapists and hundreds of thousands of clients across the country. We have raised more than $178 million in funding from prominent investors including Sequoia Capital, Transformation Capital, TCV, and SignalFire.

Position Overview

As an Authorization Specialist at Grow Therapy, you will play a crucial role in ensuring our clients receive timely access to care by managing the prior authorization process. Your responsibilities will evolve as we scale, but your initial focus will be on accurately submitting and tracking prior authorization requests, resolving claim denials, and maintaining compliance with payer guidelines and company policies.

Responsibilities

• Accurately and efficiently submit prior authorization requests to insurance payers based on clinical and administrative requirements.
• Regularly track, follow up, and update the status of submitted authorizations to ensure timely approvals.
• Research and find solutions to denied claims.
• Complete outbound calls to insurance carrier supervisors to investigate denial reasons.
• Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
• Ensure compliance by staying current with payer-specific authorization guidelines and maintaining compliance with HIPAA and company policies.
• Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers.
• Ensure patient data in all systems is accurate and up-to-date, reaching out to the appropriate contacts to resolve any inconsistencies.
• Collaborate with internal teams to gather required documentation and clarify payer requirements as needed.
• Prioritize workflows based on the age of claims.

Qualifications & Fit

You’ll Be a Good Fit If You Are:

• Process-driven: Highly organized, an operational thinker, and rarely leave questions unanswered.
• Adaptable: Comfortable in a fast-paced environment with priorities that may change weekly.
• Healthcare Experienced: Possess a strong understanding of healthcare claims, plan benefits, and patient responsibilities. A minimum of 2 years of experience in Medical Billing or a Healthcare setting is required.
• Team Player: Collaborative by nature, you relish in camaraderie and group wins, and are a steadfast partner and source of encouragement to colleagues.

Note: If you don’t meet every single requirement but are still interested in the job, please apply. Grow Therapy believes the perfect candidate is more than just a resume.

Compensation & Benefits

• Base Compensation: The base compensation range for this position is $52,000 USD. This will vary based on relevant experience, qualifications, and the candidate's working location.
• Impact: The chance to drive impact within the mental healthcare landscape from day one.
• Health Insurance: Comprehensive health insurance plans, including dental and vision.
• Wellness Focus: Our dedication to mental health guides our culture. Wellness benefits include:
  • Flexible working hours
  • Flexible Time Off
  • Company-wide winter break
  • Mental health mornings (2 hours each week)
  • Wellness Stipend
  • In-office meals and snacks
• Growth: Continuous learning opportunities.
• Startup Environment: Competitive salary and the opportunity to help build a rapidly scaling start-up organization.

Application Instructions

• Please upload your resume in PDF format.

Hiring Process Note

Grow Therapy uses Covey as part of its hiring and/or promotional process for jobs in NYC. Certain features may qualify it as an AEDT. We provide Covey with job requirements and candidate-submitted applications for evaluation. Covey Scout for Inbound was implemented on January 11, 2025. Please see the independent bias audit report covering our use of Covey here.