About FGC+

#SparkSuccess at FGC+!

Since 2011, FGC+ has been committed to transforming US businesses through our all-inclusive outsourcing solutions. Through the years, we've built strong remote teams, developed customized processes, and provided exceptional customer service, helping companies soar to new heights. Our dedicated professionals excel in supporting a diverse range of industries with unmatched dedication.

Driven by our core values of Empathy, Reliability, Possibility, and Growth, we are focused on #IgnitingPossibility and helping each team member unlock their full potential. At FGC+, we offer more than just a job; we provide a nurturing environment where work-life balance, mentorship, employee engagement, and continuous learning are the pillars of your success.

Here, you are more than just an employee—you are part of a team where you can truly thrive and make a difference.

About the Job:

This role will play a critical role in supporting the authorization lifecycle for Applied Behavior Analysis (ABA) services. This position is responsible for coordinating authorization submissions, managing authorization determinations, maintaining accurate authorization records, and ensuring compliance with payer requirements and organizational standards. The role serves as a key liaison between insurance payors, providers, and internal departments by facilitating timely authorization processing, maintaining documentation integrity, and supporting operational workflows that impact service delivery and revenue cycle performance.

What You'll Do:

Authorization Submission Support:

• Review assessment reports, authorization requests, and supporting documentation for completeness and accuracy prior to submission.
• Prepare and submit Initial Authorizations (IA), Ongoing Authorizations (OA), Change of Provider (COP), Continuation of Care (COC), and other authorization requests through payer-approved channels.
• Ensure submissions comply with payer requirements, company standards, and established timelines.
• Coordinate with providers and internal teams to obtain required documentation, monitor assessment completion, and resolve submission deficiencies.
• Track authorization requests through the submission lifecycle and support timely renewals and reauthorizations.

Authorization Receiving & Processing:

• Review and process authorization determinations, including approvals, partial approvals, denials, and modifications received from insurance payors.
• Enter, update, and maintain authorization records and supporting documentation in CentralReach and other designated systems.
• Validate authorization details against payer-issued determinations to ensure accuracy and completeness
• Process Late Conversion Requests and Makeup Requests by reviewing authorization availability, approved units, service dates, payer requirements, and payroll implications.
• Investigate and resolve authorization discrepancies, denials, and related issues as appropriate.

Documentation, Compliance & Reporting:

• Maintain accurate authorization records, activity logs, call documentation, and supporting files throughout the authorization lifecycle.
• Ensure compliance with payer requirements, company policies, and documentation standards while maintaining audit-ready records.
• Track authorization metrics, maintain operational reports and trackers, and identify opportunities for process improvement.

Communication & Stakeholder Support:

• Serve as a liaison between insurance payors, providers, Clinical Operations, Billing, Scheduling, and other internal teams regarding authorization-related matters.
• Communicate authorization updates, documentation requirements, and status changes to relevant stakeholders in a timely and professional manner.
• Escalate authorization issues, compliance concerns, or service-impacting risks when appropriate

What You'll Bring:

• At least 1 year of experience in healthcare administration, insurance authorizations, medical billing, revenue cycle support, or a related healthcare operations role.
• Experience working with insurance authorization processes, preferably within ABA, behavioral health, or healthcare services.
• Familiarity with payer requirements, authorization workflows, and healthcare documentation standards preferred.
• Experience using CentralReach or similar healthcare management systems is an advantage.
• Strong attention to detail with a high level of accuracy in data entry, documentation review, and record maintenance.
• Excellent organizational and time management skills with the ability to manage multiple priorities and deadlines.
• Strong analytical and problem-solving abilities.
• Excellent verbal and written communication skills with the ability to interact professionally with internal and external stakeholders.
• Proficiency in Microsoft Office applications and healthcare-related software systems.
• Ability to work independently while maintaining collaboration with cross-functional teams in a fast-paced environment.

What we have to offer:

• A company culture based on our purpose to bring out the untapped potential, creativity, and success in people, partnerships, and brands.
• A culture built on the mission to develop high-functioning teams by providing an environment of constructive support and inspiration where people grow personally and professionally
• A market competitive total compensation/rewards package including:

• • Day 1 HMO
  • Competitive pay including incentives and generous allowances
  • Payment of all statutory government benefits
  • 25 days of annual paid leave some days are convertible to cash
  • 13^th month pay
  • Onsite medical support
  • Employee Engagement Events
  • Employee Referral Program
  • Skills, training for personal and professional development

A million possibilities are waiting to be ignited. Click "Apply Now"!