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
...A fast-paced law firm specializing in Merchant Cash Advance (MCA) litigation and civil/commercial matters is seeking a Private Investigator (Asset Search Specialist) to conduct deep-dive financial, banking, and asset investigations. This role is ideal for someone who...
...and part-time opportunities on a variety of units that are open to New Graduates. At the end of this application, you will be asked to... ...application of critical thinking process and communication with the RN. Requirements Graduate of an accredited nursing program...
...team driven by our common purpose to deliver a better world. Join us. Job Description AECOM is seeking a talented Senior Fire Protection Engineer to be based in our Orange, CA office. Role is hybrid, but also open to remote depending on location. This...
...Mandarin Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable Experience & Qualifications... ...itself on finding highquality, highaccountability, barred attorneys specifically tailored to the needs of our project. We seek attorneys...
...experienced strategic SEM lead to manage our significant Paid Search Marketing budget. This role is responsible for developing and executing... ...3rd party agency leadership. Experience with multiple Search Engine platforms include both traditional search engines like Google...