RCM Authorization Specialist at Isaiah House – Harrodsburg, Kentucky

Isaiah House is a faith-based and Christ-centered nonprofit organization. Employees are expected to conduct themselves in a manner consistent with our mission, values, and standards of conduct. We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, national origin, sex, disability, or any other status protected by applicable law.

An RCM Authorization Specialist ensures timely insurance approvals and helps prevent delays in care. They protect revenue by managing authorizations and reducing denials. Their work supports compliance and smooth communication between payers and internal teams.

Employees receive benefits that include:

• Medical, dental, and vision insurance
• Basic life insurance
• 401(k) Option
• Paid holidays
• PTO after 90 Days

Additional Information:

• Schedule: Full-time, Monday - Friday, 8:00 - 4:30pm
• Work Environment: Hybrid
• Travel Requirements: Some travel may be needed

Physical Requirements:

• Ability to perform the essential functions of the position with or without reasonable accommodation
• Prolonged periods of sitting and working on a computer
• Frequent use of standard office equipment (e.g., keyboard, phone)
• Ability to communicate effectively with staff and company partners
• Occasionally required to stand, walk, bend, or reach
• May be required to lift and/or move up to 25 pounds

Key Job Responsibilities:

• Eligibility & EHR Management: Verify insurance eligibility and benefits and maintain accurate updates in the EHR
• Authorizations & Utilization Review: Submit, track, and reconcile initial and concurrent authorizations per payer guidelines; coordinate peer-to-peers when needed
• Documentation & Payer Communication: Submit discharge summaries within required timeframes and communicate with payers and internal teams regarding authorizations and denials
• Reporting & Compliance: Complete assigned reports, identify and report trends or issues, and ensure compliance with state, federal, and organizational standards while maintaining confidentiality
• Productivity & Team Support: Work independently to manage daily tasks, prioritize workload, support organizational goals, and complete additional duties as assigned

Required Qaulifications:

• High school diploma or GED
• Familiarity with ICD-10-CM, DSM-V, CPT/HCPCs, substance abuse and behavioral health treatment
• Willingness to obtain and maintain proficiency in Isaiah House policy, procedures, and programs
• Knowledge of various web browsers, electronic health records/payment management systems, Excel, Word, Outlook, and various provider portals – Availity,KYMMIS, etc