Behavioral Health UR/Authorization Specialist

Adolescent Wellness Academy

Behavioral Health UR/Authorization Specialist managing insurance authorizations for PHP and IOP programs. Ensuring client access to treatment by handling pre-certifications and appeals.

Posted 7/22/2026full-timeDavie • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in verifying benefits and eligibility, managing authorizations, and preparing appeals in mental health or substance use treatment settings. Proficient in utilizing ASAM, LOCUS, and CALOCUS criteria to build medical necessity cases and maintain accurate records.

Highest-signal resume keywords

UR/AUTHORIZATION SPECIALIST EXPERIENCEASAM, LOCUS, CALOCUS CRITERIA KNOWLEDGEEMR PLATFORMS AND AUTHORIZATION SOFTWARE FAMILIARITYSTRONG ORGANIZATIONAL SKILLSBILINGUAL (ENGLISH/SPANISH)

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Benefits VerificationPre-CertificationsConcurrent ReviewsMedical Necessity StandardsCPT/ICD-10 FamiliarityDSM-5 FamiliarityMulti-Payer SCA Experience

Soft Skills

Strong Written CommunicationStrong Verbal CommunicationAdvocacy Skills

Tools & Technologies

EMR PlatformsAuthorization SoftwareKipu

Certifications & Qualifications

Eligible for DCF Background CheckEligible for AHCA Level 2 Background Check

Industry Keywords

Mental Health FacilitySubstance Use FacilityPHP Levels of CareIOP Levels of Care

Tech Stack

Tools & technologies

PHP

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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
CPT/ICD-10 and DSM-5 familiarity preferred
Multi-payer SCA experience preferred
Bilingual (English/Spanish) preferred
Kipu or similar EMR experience preferred

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Adolescent Wellness Academy Website LinkedIn All Job Openings 11 - 50 employees Founded 2015 🧘 Wellness Healthcare
Mental Health
Wellness Adolescent Wellness Academy is a mental health treatment center dedicated to supporting teenagers aged 13-17 and their families. With locations in Broward and Miami-Dade, the academy offers specialized programs including outpatient treatment, intensive outpatient programs, and therapeutic day programs. Their evidence-based approach focuses on addressing various teen mental health issues such as depression, anxiety, self-harm, and substance abuse, while also providing family-centered support to foster lasting positive changes. Behavioral Health UR/Authorization Specialist 🔥 9 minutes ago 🏢🏡 Davie – Hybrid 💵 $25 - $27 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Authorization Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
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 🎯 Requirements
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
CPT/ICD-10 and DSM-5 familiarity preferred
Multi-payer SCA experience preferred
Bilingual (English/Spanish) preferred
Kipu or similar EMR experience preferred Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs