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Job Summary
We are seeking an experienced TMS and Spravato Coordinator to join our behavioral health practice. This role requires direct, hands-on experience with all administrative and clinical-support processes related to TMS and Spravato services.
Applicants without prior authorization and insurance verification experience will not be considered.
Responsibilities
- Complete verification of benefits for TMS and Spravato, including medical necessity and coverage criteria
- Manage the prior authorization process from submission through approval for both services
- Ensure all patient eligibility and clinical requirements for TMS and Spravato are met and documented
- Prepare, submit, and track appeals for denied authorizations
- Handle billing and coding specific to TMS and Spravato, ensuring accuracy and compliance
- Maintain detailed documentation and communicate with patients, providers, and payers
Required Experience
- Experience with TMS verification of benefits, prior authorizations, patient requirements, appeals, billing, and coding PREFERRED
- Experience with Spravato verification of benefits, prior authorizations, patient requirements, appeals, billing, and coding PREFERRED
- Strong understanding of payer policies, medical necessity criteria, and behavioral health benefits
- High attention to detail, accuracy, and follow-through
- Excellent communication and organizational skills
- Ability to work independently and manage a high-volume workflow
Please do not call the business.
Submit up-to-date resume, we will contact candidates for face-to-face interviews.
Pay: From $17.00 per hour
Benefits:
Experience:
Work Location: In person
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