ABA Authorization Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Submit, track, and oversee initial, concurrent, and reauthorization requests for ABA therapy services.

• Monitor the status of authorizations and liaise with insurance providers to guarantee prompt approvals and prevent disruptions in care.

• Track the utilization and expiration dates of authorizations, ensuring renewal requests are submitted within the required timeframes.

• Communicate authorization approvals, denials, modifications, and requests for additional information to internal stakeholders.

• Collaborate with BCBAs and clinical teams to gather treatment plans, assessments, progress reports, and necessary documentation for authorization submissions.

• Verify payer authorization requirements and stay informed about commercial insurance, Medicaid, and managed care guidelines.

• Assist with issues related to authorizations, including denials and appeals.

• Maintain precise authorization records and documentation within CentralReach and other company systems.

• Ensure adherence to payer requirements, HIPAA regulations, and company policies.

• Support authorization reporting, audits, workflow improvements, and other administrative functions as required.

⛳️ Requirements

• An Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Psychology, or a related field is preferred.

• A minimum of 2 years of experience in healthcare authorizations, insurance verification, utilization management, or a similar healthcare administrative position.

• Strong preference for experience with ABA therapy authorizations.

• Knowledge of insurance authorization processes, commercial payers, Medicaid, and managed care plans.

• Proficiency with CentralReach, particularly the Authorizations Module.

• Strong working knowledge of Google Workspace, including Google Sheets, Docs, Gmail, and Drive.

• Exceptional organizational skills and meticulous attention to detail.

• Excellent written and verbal communication abilities.

• Capability to manage multiple priorities and meet deadlines in a fast-paced environment.

• Preference for experience in behavioral health, ABA, or pediatric healthcare.

• Familiarity with authorization appeals and denial management is preferred.

• Experience working with various insurance payers across multiple states is preferred.

🏝️ Benefits

• Flexible schedules.

• Health, Dental, Chiropractic, and Vision Insurance.

• Critical Illness, Voluntary Life, Accident, Hospital Confinement, and Basic Life Insurance.

• 401(k).

• Pet Insurance Discounts.

• Paid Time Off.

• Seven Company-Paid Holidays.

• Professional Development Assistance.

• Employee Referral Program.

• Tuition Reduction for Partnered Universities, including National University, California Southern University, Vanguard University, Capella University, and Purdue Global.

• Competitive compensation.

• Comprehensive benefits package.

• Opportunities for professional development and growth.

• Supportive and inclusive work environment.