About ICGH

Integrated Care for Greater Health (ICGH) is a recovery-focused organization that grew from Hickory, North Carolina, into a growing continuum of services designed to support lasting recovery. We connect community clinics, inpatient and mobile integrated care, telehealth, pharmacy and medication access, peer support, recovery housing, transportation, and care navigation.

Our guiding philosophy is "Recovery—not treatment." We believe in creating connected, accessible services that support individuals wherever they are in their recovery journey.

Position Overview

The Authorization & Credentialing Specialist is responsible for coordinating service authorizations and provider credentialing and enrollment with insurance payers. This position ensures authorizations remain current, provider enrollment requirements are met, and related processes are completed accurately and timely to support continuity of services and reimbursement.

Key Responsibilities

• Obtain and maintain required service authorizations across applicable insurance plans.
• Verify authorization requirements, approved services, units, and coverage limitations.
• Gather supporting clinical documentation and submit initial and continued authorization requests within required payer timeframes.
• Monitor authorization statuses, approved units, and expiration dates to prevent gaps in coverage.
• Communicate with insurance payers and internal teams regarding authorization requests, approvals, denials, and outstanding requirements.
• Research authorization issues, coordinate necessary documentation, and follow appeals through resolution.
• Coordinate provider credentialing and enrollment with North Carolina Medicaid, Medicaid Managed Care Organization (MCO) plans, Medicare, and commercial insurance payers.
• Gather required provider documentation and prepare and submit initial credentialing and enrollment applications.
• Monitor application statuses and follow up with payers regarding outstanding documentation, enrollment requirements, and processing delays.
• Maintain accurate provider credentialing records, including application statuses, effective dates, and recredentialing deadlines.
• Monitor recredentialing and payer revalidation requirements to ensure timely completion.
• Communicate provider enrollment approvals, effective dates, and outstanding issues to the appropriate internal teams.
• Identify and address authorization and credentialing issues that may impact services, billing, or reimbursement.
• Maintain accurate records and support audits and process improvements related to authorization and credentialing.

Required Qualifications

• High school diploma or equivalent.
• Minimum of 1–2 years of healthcare administrative, insurance authorization, medical billing, or related experience.
• Familiarity with insurance authorization processes and payer requirements.
• Basic understanding of insurance plans, provider enrollment, and credentialing processes.
• Strong organizational skills and attention to detail.
• Ability to manage multiple responsibilities, deadlines, and priorities.
• Proficiency in Microsoft Office, particularly Excel and Word.

Preferred Qualifications

• Experience with service authorizations in healthcare or behavioral health.
• Experience with provider credentialing and insurance enrollment.
• Familiarity with North Carolina Medicaid, including Medicaid Managed Care Organization (MCO) plans.
• Experience working with Medicare and commercial insurance payers.
• Familiarity with electronic health record (EHR) systems and authorization or credentialing tracking tools.

Skills & Abilities

• Strong organizational and time-management skills.
• Excellent written and verbal communication.
• Strong follow-up, problem-solving, and critical-thinking skills.
• Ability to communicate professionally with insurance representatives, providers, and internal teams.
• Ability to work independently while collaborating effectively with others.
• Professionalism and discretion when handling confidential information.
• Ability to adapt to changing payer requirements and processes.