RCM Specialist (Prior Authorizations & Insurance Verification)

Company Overview: Insight Therapy Solutions is a growing behavioral health organization dedicated to helping people access the care they need. Since 2012, we've combined compassionate service, strong clinical support, and operational excellence to create a positive experience for both clients and team members. Why Join Us: 100% remote – work from home Join a growing behavioral health organization Collaborative and supportive team environment Opportunity to expand your Revenue Cycle Management expertise Make a direct impact on patient access to care Position Overview: The RCM Specialist supports revenue cycle operations with a primary focus on prior authorizations, insurance verification, benefits validation, and authorization renewals. This role also assists with other revenue cycle functions as needed, including claim follow-up and denial resolution. We're looking for a detail-oriented professional who can effectively work with insurance companies, providers, and internal teams to help ensure patients receive timely access to services while supporting efficient reimbursement processes. Key Responsibilities: Submit, track, and manage prior authorization requests. Verify patient eligibility, benefits, and authorization requirements. Monitor authorization status and obtain approvals before scheduled services. Initiate authorization renewals and resolve authorization-related issues. Communicate with insurance companies regarding authorizations, benefits, and claim inquiries. Coordinate with providers and internal teams regarding payer requirements and authorization updates. Assist with claim follow-up, denial resolution, appeals, and other revenue cycle activities as needed. Maintain accurate documentation and ensure compliance with payer guidelines, HIPAA regulations, and company policies. What We're Looking For: Required: 2+ years of experience in Prior Authorizations, Insurance Verification, Medical Billing, Revenue Cycle Management, or a related healthcare role. Experience working with U.S. healthcare insurance plans and payer portals. Strong understanding of insurance eligibility, benefits verification, and authorization processes. Excellent English communication skills. Strong attention to detail, organization, and time management skills. Ability to work independently in a remote environment. Preferred: Experience supporting behavioral health, mental health, or outpatient healthcare organizations. Experience with accounts receivable follow-up, denial management, and claim resolution. Experience using SimplePractice or similar EHR systems. Familiarity with Availity, Waystar, or similar payer portals. Key Competencies: Attention to detail Problem-solving Organization and follow-through Communication and collaboration Accountability and adaptability Work Environment: Join a collaborative remote team where your work directly impacts patient access to care. You'll work closely with providers, billing professionals, and healthcare operations staff to support efficient revenue cycle processes.