Behavioral Health Authorization and Credentialing Specialist

Integrated Care for Greater Health, Inc. (ICGH)

. Obtain and maintain required authorizations for ICGH services .

Posted 11/3/2026full-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing authorization and credentialing processes, ensuring compliance with payer requirements while maintaining accurate records. Strong communication and organizational skills are essential for coordinating with internal teams and insurance payers.

Highest-signal resume keywords

Authorization ManagementProvider CredentialingInsurance Enrollment ProcessesBehavioral Health KnowledgeAttention to Detail

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

Authorization RequestsCredentialing ApplicationsEHR ManagementAuthorization TrackingPayer Requirements Knowledge

Soft Skills

Organizational SkillsTime ManagementEffective CommunicationProblem-SolvingCollaboration

Tools & Technologies

Authorization Tracking SystemEHR Software

Industry Keywords

Behavioral Health ServicesInsurance Authorization ProcessesProvider EnrollmentCredentialing AuditsQuality Improvement

About the role

Key responsibilities & impact

Obtain and maintain required authorizations for ICGH services
Submit initial and continued authorization requests within required payer timeframes
Communicate with insurance payers regarding authorization requests, approvals, denials, and requirements
Obtain and review documentation needed to support authorization requests
Maintain accurate authorization information in the EHR and authorization tracking system
Monitor authorization status, approved units, and expiration dates
Coordinate with clinical and operational teams to obtain information needed for authorizations and continued reviews
Communicate authorization approvals, limitations, denials, and issues to appropriate teams
Track authorization appeals through resolution
Identify and address authorization issues that may impact services or billing
Coordinate provider credentialing and enrollment with insurance payers
Prepare, submit, and track initial provider credentialing and enrollment applications
Monitor credentialing applications, follow up with payers, and address outstanding requests for information or documentation
Maintain provider credentialing records, including application status, effective dates, recredentialing deadlines, and enrollment requirements
Monitor provider recredentialing and payer revalidation requirements to ensure timely completion
Coordinate with providers and internal teams to obtain required credentialing documentation and maintain accurate provider information
Communicate provider enrollment approvals, effective dates, and outstanding credentialing issues to appropriate teams
Identify and address credentialing or enrollment issues that may impact billing, reimbursement, or provider participation
Maintain complete and accurate authorization and credentialing records
Participate in authorization and credentialing audits and quality improvement activities
Participate in department meetings and team initiatives
Assist with updates to authorization and credentialing workflows, tracking tools, and procedures
Support quality improvement efforts related to authorization and credentialing processes
Perform other related duties as assigned

Requirements

What you’ll need

Knowledge of behavioral health services and insurance authorization processes
Familiarity with provider credentialing and insurance enrollment processes preferred
Knowledge of payer requirements and authorization procedures
Strong organizational and time-management skills
Strong attention to detail and accuracy
Effective written and verbal communication skills
Ability to manage multiple authorizations, credentialing applications, deadlines, and priorities
Ability to communicate effectively with insurance payers, providers, and internal teams
Ability to maintain accurate and confidential records
Ability to identify authorization and credentialing issues and follow through to resolution
Ability to work independently and collaboratively
Ability to adapt to changing payer requirements and processes