Authorization Admin Assistant

About the Role

Pathways to Life Inc. is seeking a detail-oriented and organized Authorization Assistant to support our behavioral health services authorization process. This role provides essential administrative and technical support to ensure authorization packets are complete accurate and submitted in a timely manner in alignment with state MCO and agency requirements.

Under the supervision of the Authorization Specialist you will play a key role in maintaining compliance supporting documentation processes and collaborating with team members across programs to ensure members receive timely access to services.

Why Join Pathways to Life Inc.

At Pathways to Life Inc. we are committed to supporting and empowering our members through high-quality behavioral health services. Youll join a collaborative mission-driven environment where your attention to detail helps ensure individuals receive the services they need.

Key Responsibilities

• Receive log and organize authorization packages from Licensed Professionals and Team Leads.
  

• Review documentationsuch as CCA PCP CCP service orders and intake formsfor accuracy and completeness.
  

• Verify guardianship and consent paperwork.
  

• Ensure all required elements meet DHHS MCO and Pathways to Life service definitions.
  

• Communicate with staff regarding missing or incomplete documentation.
  

• Submit verified authorization packets to the Authorization Specialist for review and MCO portal entry.
  

• Upload documents TAR/SAR receipts and relevant tools into Pangea Health.
  

• Maintain tracking systems including census updates denial logs and authorization status spreadsheets.
  

• Assist in monitoring approvals denials reauthorizations and follow-ups.
  

• Support internal audits CARF compliance tasks and quality improvement initiatives.
  

• Participate in Records Review Committee as assigned.
  

• Review MCO bulletins and notify leadership of relevant updates.
  

• Complete additional administrative and data management tasks as needed.
  
  

Qualifications

Education & Experience:

• At least 1 year of administrative experience in behavioral health medical or social services preferred.
  

• Must complete all required agency training within 30 days of hire.
  

• No substantiated findings on the NC Health Care Personnel Registry.
  

• Must disclose any criminal convictions; hiring decisions follow state and agency regulations.
  
  

Knowledge & Skills:

• Strong proficiency in Google Workspace (Docs Sheets Slides Calendar).
  

• Basic knowledge of office equipment and multifunction devices.
  

• Familiarity with electronic health records (e.g. Pangea Health) preferred.
  

• Understanding of HIPAA confidentiality standards and behavioral health documentation requirements.
  

• Strong attention to detail and accuracy.
  

• Cultural competency working with diverse populations and multidisciplinary teams.
  
  

Abilities:

• Provide professional and courteous communication at all times.
  

• Work independently with minimal supervision.
  

• Manage multiple priorities and meet critical deadlines.
  

• Maintain strict confidentiality and exercise sound judgment.
  

• Meet both short-term and long-term goals efficiently.
  

Physical & Working Conditions

• Must be able to walk stand stoop and occasionally lift up to 25 lbs.
  

• Must maintain CPI and CPR certification (training provided).
  

• Work conducted primarily in an office environment with potential exposure to infectious diseases or volatile situations in community settings.