Specialist II, Authorizations

Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $328Mm in funding, including our Series D, at a $3B valuation from Sequoia Capital, Transformation Capital, TCV, SignalFire, Menlo Ventures, Goldman Sachs Alternatives, and others.

We're looking for an experienced Authorization Specialist II who is passionate about improving the landscape for mental healthcare. This position will help ensure clients get timely access to care by keeping authorization data accurate and current across Grow's behavioral health claims.

You will be responsible for entering and validating authorization packets, resolving missing Client ID and authorization-on-file issues, and auditing BPO throughput and accuracy. You will report directly to the Authorization Supervisor and work closely with the Billing and Eligibility teams. From day one, you'll have real ownership and the opportunity to help build an authorization function that supports Grow's mission of expanding access to mental healthcare.

What You'll Be Doing:

As one of our Authorization Specialists, your responsibilities might evolve over time as we scale. Your initial responsibilities will include:

• Processing incoming authorization packets and medical records requests, entering and validating data against source documents.

• Resolving missing Client ID and authorization-on-file issues, coordinating with VAMCs, Community Care, and EAP partners as needed.

• Auditing BPO authorization entry for accuracy and tracking performance against productivity standards.

• Researching and resolving authorization-related claim denials, identifying trends and escalating systemic issues with supporting evidence.

• Submitting and tracking RFS forms and other renewal or reauthorization requests.

• Maintaining accurate, up-to-date authorization records across internal systems.

• Partnering with Billing and Eligibility to keep claims moving cleanly through the Pre-Bill process.

You'll Be a Good Fit If:

• You have 2+ years of medical billing, authorization, or patient access experience

• You have strong attention to detail and can catch mismatched service types, expired date ranges, and missing session counts before they become denials

• You're comfortable working across multiple systems (Fax platforms, EHR, payer portals) at once

• You're process-driven and can document decisions accurately at volume, rarely leaving questions unanswered

• You're a team player who works closely with Billing and Eligibility to resolve issues quickly

• You're comfortable meeting quantitative productivity standards and adapting to changing priorities

• You thrive working independently in a fast-paced, still-being-built environment

Bonus Points If You Have:

• Prior VA/Community Care Network or government payer authorization experience

• Prior EAP authorization experience (Cigna, Octave, or similar)

• Experience at a startup or high-growth company

Employment Type: Hourly, Non-Exempt
Base Compensation: The hourly compensation rate for this position is:

Fully Remote Commitment: $26.44 per hour

This role is fully remote. Both arrangements include travel 2–3 times per year (e.g., company and department offsites).

Full Time Employee Benefits:

• Health Benefits: Comprehensive medical, dental, vision, life, and disability coverage.

• Grow for Grow: No cost access to therapy through the Grow platform (available to US employees)

• Financial Wellness: Retirement savings programs and equity opportunities to help you invest in your future.

• Flexible Time Off, Paid Holidays & Winter Break: Flexible time off, company paid holidays (which vary by country), and a full company wide Winter Break to rest and recharge

• Parental Leave: Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend.

• Mental Health Mornings/Afternoons: Dedicated weekly flexible time for self care, whether that's therapy, exercise, journaling, time with family, or simply taking a break.

• Wellness & Development Stipend: Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources.

• Commuter Benefits: Pre tax commuter benefits to support teammates working from one of our hub locations.

• Home Office & Meals: Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub based employees.

• Additional Perks: A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance.

Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings.

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.

Use of AI Tools: We use certain AI and automated tools to support recruitment. These tools help our team review applications, organize interviews, detect potential application integrity issues, and maintain interview records; they do not make final hiring decisions.

Application Review: Ashby's AI-Assisted Application Review helps review application materials against role-specific criteria and may flag potential fraud or integrity issues for recruiter review. All advancement decisions are made by our human recruiting team after independent review. See Ashby's AI Bias Audit Report.

Interview Recording: We use BrightHire to record interviews, supporting note-taking and consistency across candidates. Learn more. Interviews are confidential; you may ask your interviewer to stop recording anytime, or opt out in advance. Choosing not to be recorded will not, by itself, affect your candidacy.

AI-Assisted Recruiter Screen: For select roles, BrightHire's AI features may help structure initial recruiter screens and organize interview notes. All responses are reviewed by our recruiting team; no hiring decisions are made by AI alone.

State-specific notices: Depending on your location, you may have additional rights. Illinois: If AI analyzes a video interview, we'll provide notice, explain how it works and what it evaluates, and obtain consent beforehand. New York City: Where required, we'll provide at least 10 business days’ notice before using an automated employment decision tool and explain how to request an alternative process. Maryland: We do not use facial recognition to create facial templates during interviews unless required notice and written consent are obtained.

Questions, accommodation requests, requests for an alternative selection process, objections to recording, or concerns about AI use? Contact [email protected]. We’re happy to help or offer an alternative way to participate.