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ABA Authorization Specialist

1 week ago
United States
Full-time
Junior
Operations Specialist
Customer and Technical Support
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 and prevent care interruptions.
  • Track authorization utilization and expiration dates and submit renewal requests 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 for submissions.
  • Verify payer authorization requirements and maintain knowledge of commercial insurance, Medicaid, and managed care guidelines.
  • Assist with resolving authorization 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 and flexible remote schedules.
  • Health, dental, chiropractic, and vision insurance.
  • Critical illness, voluntary life, accident, hospital confinement, and basic life insurance.
  • 401(k) retirement plan.
  • Pet insurance discounts.
  • Paid time off and 6 fixed company-paid holidays plus 3 floating holidays.
  • Professional development assistance, growth opportunities, and tuition reduction with partner universities.

Interested in this position?

Apply directly on the company website

Apply Now

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