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Revive BHS

Insurance Authorization Supervisor

Revive BHS

. Supervise, train, and support insurance authorization and verification specialists.

Posted 10/10/2026full-timeSeverna Park • Maryland • United StatesMid-LevelSenior💰 $65,000 - $75,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

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

Demonstrates expertise in managing insurance authorizations and verification processes within the behavioral health industry, ensuring compliance with regulations and effective team performance. Proficient in utilizing EHR systems and payer portals to streamline workflows and enhance operational efficiency.

Highest-signal resume keywords
Insurance Authorization ManagementBehavioral Health Industry KnowledgeEHR Systems ProficiencyDenial Management ExperienceSupervisory Experience

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills
Utilization Management CoordinationAuthorization TrackingMedical Necessity Criteria FamiliarityBehavioral Health Billing KnowledgeClaims ProcessingQuality Assurance ProcessesStandard Operating Procedures DevelopmentAuthorization Denial ResolutionPayer Compliance ReviewTracking Systems Development
Soft Skills
Organizational SkillsAnalytical SkillsCommunication SkillsProblem-Solving SkillsTime Management
Tools & Technologies
EHR SystemsInsurance Payer PortalsAuthorization Tracking Tools
Industry Keywords
Behavioral HealthSubstance Use DisorderResidential TreatmentPHPIOPMedicaid Managed CareCommercial InsuranceASAM CriteriaPayer RequirementsHIPAA Compliance

Tech Stack

Tools & technologies
PHP

About the role

Key responsibilities & impact
  • Supervise, train, and support insurance authorization and verification specialists.
  • Manage daily workloads, staff assignments, productivity, and overall team performance.
  • Establish and maintain standardized authorization procedures and workflows.
  • Monitor staff performance, identify training opportunities, and provide ongoing coaching.
  • Serve as the primary escalation point for complex authorization issues, payer disputes, and urgent requests.
  • Ensure communication and coordination between authorization specialists, billing teams, and client organizations.
  • Oversee submission, tracking, and follow-up of initial, concurrent, and continued-stay authorization requests.
  • Ensure authorizations are obtained and maintained for residential treatment, PHP, IOP, and outpatient services.
  • Monitor authorization expiration dates, approved units, service limitations, and continued-stay requirements.
  • Review authorization requests for accuracy, completeness, and payer compliance.
  • Coordinate with clinical teams to obtain supporting documentation and medical necessity information.
  • Manage authorization denials, reconsiderations, appeals, and peer-to-peer review coordination.
  • Identify and resolve authorization barriers affecting treatment or reimbursement.
  • Oversee insurance verification and benefits investigation processes.
  • Ensure verification of eligibility, behavioral health benefits, authorization requirements, deductibles, copayments, coinsurance, and coverage limitations.
  • Collaborate with billing and collections teams to resolve authorization-related claim denials.
  • Monitor denial trends and implement corrective action plans.
  • Conduct quality assurance reviews of authorization records, documentation, and staff performance.
  • Develop and maintain tracking systems and reports for authorization status, turnaround times, denials, and outstanding requests.
  • Ensure timely documentation in EHR systems, payer portals, and internal tracking platforms.
  • Improve workflows, reduce administrative delays, and increase operational efficiency.
  • Maintain compliance with HIPAA, payer requirements, and applicable federal and state regulations.

Requirements

What you’ll need
  • Minimum of 3 years of experience in insurance authorizations, utilization management coordination, or revenue cycle management within the behavioral health industry.
  • Previous supervisory, team lead, or management experience.
  • Strong working knowledge of substance use disorder and mental health treatment services, including residential, PHP, IOP, and outpatient levels of care.
  • Experience working with commercial insurance carriers, Medicaid, and Medicaid managed care organizations.
  • Demonstrated experience managing initial and concurrent authorization requests, tracking approved units, and resolving authorization denials.
  • Familiarity with medical necessity criteria, including ASAM Criteria and payer-specific utilization management guidelines.
  • Proficiency with insurance payer portals, EHR systems, and authorization tracking tools.
  • Strong organizational, analytical, communication, and problem-solving skills.
  • Ability to manage competing priorities, meet strict deadlines, and oversee multiple client accounts.
  • Experience working with behavioral health providers across multiple states.
  • Familiarity with major commercial payers, including Aetna, Anthem/BCBS, Cigna, UnitedHealthcare/Optum, and regional Medicaid MCOs.
  • Experience developing standard operating procedures, quality assurance processes, and team performance metrics.
  • Knowledge of behavioral health billing, claims processing, denial management, and reimbursement workflows.
  • Experience with substance use disorder residential and withdrawal management authorization processes.
  • Familiarity with electronic health record platforms commonly used in behavioral health treatment settings.
  • Ability to meet in person 1–2 days per week as needed, as indicated by the application question for candidates local to Severna Park, MD.

Benefits

Comp & perks
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Flexible work from home options available