Adolescent Wellness Academy·Davie, Florida
Manage insurance authorizations, pre-certifications, and concurrent reviews for PHP and IOP behavioral health programs. Build medical necessity cases and handle appeals to ensure uninterrupted client access to treatment.
Hybrid Authorization Specialist Hybrid | Full-Time | 9a-5p Monday-Friday - Tuesdays and Thursdays remote| $25-$30/hour
This role manages insurance authorization for clients across our PHP and IOP programs — completing pre-certifications, concurrent reviews, verifying benefits, obtaining Single Case Agreements, and managing appeals so that client access to treatment is never disrupted by a payer issue. Backgrounds that translate well: Utilization Review · Insurance Authorization/Precertification What You'll Do Verify benefits and eligibility prior to admission and throughout treatment Complete pre-certifications, concurrent reviews, and re-certifications for PHP/IOP levels of care Obtain Single Case Agreements with out-of-network payers Build the medical necessity case using ASAM, LOCUS, and CALOCUS criteria Prepare and submit appeals on denied authorizations Maintain accurate, audit-ready authorization, denial, and SCA records What We're Looking For Required 4+ years of experience as a UR/authorization specialist at the PHP and IOP levels of care for a mental health or substance use facility Working knowledge of ASAM, LOCUS, and CALOCUS criteria and medical necessity standards Strong organizational skills with the ability to manage multiple authorizations and deadlines concurrently Strong familiarity with EMR platforms and authorization software Strong written and verbal communication skills, with the ability to advocate effectively with payers Eligible for DCF and AHCA Level 2 Background Check Preferred CPT/ICD-10 and DSM-5 familiarity Multi-payer SCA experience Bilingual (English/Spanish) Kipu or similar EMR experience AWA and PRC are dual behavioral health organizations operating PHP and IOP programs across South Florida. We exist to serve clients and families at their most critical moments — and this role sits at the front door of that mission.
Learn More: Adolescent Wellness Academy · Principles Recovery Center
Requires over 4 years of experience as a UR/authorization specialist in mental health or substance use facilities. Must have working knowledge of ASAM, LOCUS, and CALOCUS criteria and be eligible for Level 2 background checks.
Market context
In Florida, behavioral-health roles are typically in steady demand across community clinics, schools, and care settings serving diverse populations. Competition often centers on licensure status, supervised experience, and the ability to work well with interdisciplinary teams while applying mental health ethics and cultural awareness. Review the full posting carefully and confirm your Master’s degree, Registered Intern License, and communication experience; this platform’s AI-summarized requirements and benefits can save you time by condensing the original job description.
