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Authorization Specialist - Buy and Bill Pharmacy

Crossroads Treatment Centers

Crossroads Treatment Centers provides evidence-based medication assisted treatment (MAT) for patients with opioid use disorder. The organization operates outpatient, office-based clinics across multiple states and is focused on improving access to treatment and supporting recovery.

This role supports buy and bill pharmacy billing and authorization workflows, including verifying benefits, obtaining authorizations, submitting claims, tracking denials, and resolving reimbursement issues. The position also involves communicating with payers, interpreting clinical guidelines, and preparing appeal documentation when needed.

Requirements & Qualifications

The ideal candidate will have:

  • 2–3 years of accounts receivable experience in a physician office setting
  • Prior buy and bill experience preferred
  • General knowledge of HCPCS, CPT-4, ICD-10 coding, and/or medical terminology
  • Familiarity with payer requirements and claims processing regulations
  • Ability to interpret payer clinical guidelines and contract variances
  • Experience with third-party billing requirements for federal, state, and commercial/managed care payers
  • High school diploma or GED
Benefits & Perks

Benefits include:

  • Medical, dental, and vision insurance
  • PTO
  • 401(k) options with company match and no vesting period
  • Annual continuing education allowance in a related field
  • Life insurance
  • Short- and long-term disability
  • Paid maternity/paternity leave
  • Mental health day
  • Calm subscription for all employees
  • Mileage reimbursement, if applicable

Location

N/A

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

3 weeks ago

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