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ABA Authorization Specialist

1 week, 6 days ago
United States
Full-time
Junior
Operations Specialist
Operations
HIPAA
Apply Now
Behavioral Health Works

Behavioral Health Works

Behavioral Health Works provides specialized treatment for individuals with autism and related developmental disabilities through a collaborative approach that utilizes Applied Behavior Analysis (ABA) to create individualized programs aimed at enhancin...

Health Care Providers & Services
1K-5K
Founded 2008
View All Jobs 2

Description

  • Submit, track, and manage initial, concurrent, and reauthorization requests for ABA therapy services.
  • Monitor authorization status and follow up with insurance providers to secure timely approvals.
  • Track authorization utilization and expiration dates and submit renewals within required timeframes.
  • Communicate 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 supporting documentation.
  • Verify payer authorization requirements and maintain knowledge of commercial insurance, Medicaid, and managed care guidelines.
  • Assist with resolving authorization-related issues, denials, and appeals.
  • Maintain accurate authorization records and documentation in CentralReach and other company systems.
  • Ensure compliance with payer requirements, HIPAA regulations, and company policies.
  • Support authorization reporting, audits, workflow improvements, and other administrative functions as needed.

Requirements

  • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Psychology, or a related field preferred.
  • Minimum of 2 years of experience in healthcare authorizations, insurance verification, utilization management, or a related healthcare administrative role.
  • Experience with ABA therapy authorizations strongly preferred.
  • Knowledge of insurance authorization processes, commercial payers, Medicaid, and managed care plans.
  • Proficiency with CentralReach, including the Authorizations Module.
  • Strong working knowledge of Google Workspace, including Google Sheets, Docs, Gmail, and Drive.
  • Exceptional organizational skills and attention to detail.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Experience in behavioral health, ABA, or pediatric healthcare preferred.
  • Familiarity with authorization appeals and denial management preferred.
  • Experience working with multiple insurance payers across various states preferred.

Benefits

  • Hourly rate of $24-$25 per hour, depending on experience.
  • Flexible schedules for full-time employees.
  • Health, dental, chiropractic, and vision insurance.
  • Additional insurance options including critical illness, voluntary life, accident, hospital confinement, and basic life coverage.
  • 401(k) retirement plan.
  • Paid time off and seven company-paid holidays.
  • Professional development assistance and growth opportunities.
  • Employee referral program and tuition reduction with partnered universities.
  • Pet insurance discounts.

Interested in this position?

Apply directly on the company website

Apply Now

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