Sunflower Development Center is a multidisciplinary pediatric therapy practice providing high-quality ABA, Speech, and Occupational Therapy services in a supportive, collaborative environment. We are seeking a reliable and detail-oriented part-time Authorization Specialist to support our growing clinical teams.
The Authorization Specialist will complete and track ABA, Speech, and OT prior authorizations across multiple payers as well as check and verify eligibility. This is a part-time hybrid position with on-site training in Raynham followed by some remote flexibility. Ideal for someone who is organized, proactive, and enjoys working behind the scenes to keep clinical services running smoothly.
Submit, monitor, and renew prior authorizations for ABA, Speech, and OT services
Work within payer portals (Carelon, MassHealth POS, Optum, BCBS, MGB, and others)
Review documentation for accuracy before submission
Maintain an organized authorization tracking system and monitor expiration dates
Communicate professionally with insurance payers, staff, and families
Manage denials or requests for additional information
Ensure compliance with payer-specific requirements and internal procedures
Check and verify eligibility/coverage on a daily basis
Protect client privacy and maintain HIPAA compliance
Prior authorization experience in healthcare required
Experience with ABA, Speech, or OT authorizations strongly preferred
Familiarity with payer portals: Carelon, MassHealth, Optum, BCBS, etc.
Excellent attention to detail and strong organizational skills
Strong written and verbal communication
Ability to work independently and follow through on deadlines
Experience in pediatric outpatient or ABA agency setting a plus
Part-time position (approximately 15–20 hours per week)
Flexible scheduling (Monday–Friday)
On-site training required; hybrid remote options available after training
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