PRP Prior Authorization Specialist at Enterprise Management Solutions, Inc | chakrie

Requirements

Minimum of 1–2 years of experience in healthcare administration, prior authorization, medical intake, or insurance verification
Experience supporting behavioral health, Psychiatric Rehabilitation Programs (PRP), or outpatient mental health services preferred
Experience working with Maryland Medicaid, Managed Care Organizations (MCOs), or behavioral health payer requirements preferred
Experience using Electronic Health Record (EHR) systems and payer portals preferred

High school diploma or equivalent required
Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field preferred
Ability to successfully complete required background and reference checks
Knowledge of Maryland Medicaid and Managed Care Organization (MCO) authorization processes
Understanding of Psychiatric Rehabilitation Program (PRP) services and behavioral health terminology
Strong attention to detail and organizational skills
Excellent time management and ability to manage multiple authorization requests simultaneously
Strong written and verbal communication skills
Proficiency using Electronic Health Records (EHR), payer portals, Microsoft Office, and related software
Ability to work independently while collaborating effectively with cross-functional teams
Strong problem-solving and follow-up skills
Commitment to confidentiality, accuracy, and regulatory compliance
Ability to perform effectively in a fast-paced, deadline-driven remote environment

Responsibilities

A clear overview of what is expected, written by the people who posted it, with every detail you need to decide.

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

Skills & expertise

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

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Salary & benefits

A clear overview of what is expected, written by the people who posted it, with every detail you need to decide.

Qualifications, experience and the skills that matter most, along with anything that would make you stand out.

Practical next steps, the documents to prepare and the dates to keep in mind before you apply or get in touch.

Contact details, links to the official source and the notes our team adds after checking each listing by hand.

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