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ABA Insurance Authorization Specialist
2 months ago
We are seeking a highly skilled ABA Insurance Authorization Specialist to join our team at A Bridge To Achievement. As an ABA Insurance Authorization Specialist, you will play a critical role in ensuring the efficient processing of insurance claims and authorizations for Applied Behavior Analysis (ABA) services.
Key Responsibilities:- Verify insurance coverage and eligibility for ABA services in a timely and accurate manner.
- Obtain authorizations from insurance companies for initial assessments, ongoing treatments, and additional services as needed.
- Maintain and update authorization deadlines for all services.
- Review and interpret insurance policies to determine and document coverage limitations and exclusions.
- Communicate effectively with insurance companies and/or billing teams to resolve issues related to claims and authorizations.
- Collaborate with the intake, clinical, and billing teams to ensure timely and accurate submission of necessary documentation.
- Perform re-authorization and eligibility checks in a timely manner.
- Maintain detailed records of authorizations, claims, and communications with insurance providers.
- Stay updated on changes in insurance regulations, policies, and procedures related to ABA services.
- Provide support and guidance to clients and their families regarding insurance coverage and authorization processes.
- Notify Client Services Management regarding lack of payer coverage or other service non-coverage issues.
- High School Diploma or equivalent required; Associate's Degree or higher in a relevant field preferred.
- Minimum of one year's experience in medical billing, insurance verification, or authorization coordination, within an ABA or healthcare-related field required.
- Strong working knowledge of insurance portals and insurance terminology.
- Familiarity with various insurance carriers, including Medicaid billing processes.
- Certification in medical billing or healthcare administration preferred.
- Experience with electronic health record systems (ERMS), preferably Central Reach, required.
- Demonstrated commitment to upholding ethical standards and promoting a positive workplace culture characterized by fairness, respect, and inclusivity.
- Ability to work effectively and stay solution-oriented within a fast-paced environment.
- Proven ability to work effectively cross-functionally within all levels in the organization.
- Strong proficiency with E-Signature Softwares, Microsoft Office (PowerPoint, Excel, Outlook), and G Suite.
- Proven organizational skills through strong time management and meticulous attention to detail.
- Excellent written and verbal communication skills with timely response rates.
- Strong customer service skills, including professionalism, patience, and a positive attitude.
- Familiarity with HIPAA regulations and patient confidentiality practices.
- Problem-solving skills and the ability to handle challenges related to insurance claims and authorizations.
This is a remote position that offers the flexibility to work from any location with a stable internet connection that has minimal distraction with adaptable technology needed.
Benefits:- Exceptional and Competitive Wages
- Paid Time Off (PTO)
- Paid Holidays
- Paid Self-Care Time
- Amazing Employee Assistance Program (EAP) for all employees (plus their partners and dependents) which includes counseling services, financial services, legal services, discounts, and more
- Flexible Schedules
- 401(k) Retirement Plan with a company match
- Healthcare Insurance Options (Medical, Dental, Vision, and Life)
- Ancillary Insurance Options through Aflac (STD, LTD, and more)
- Flexible Spending Account (FSA) for medical expenses and dependent care expenses
- Mileage Reimbursement & Paid Drive Time Policies
- Initial and Ongoing Paid Training and Supervision
- Opportunities for Career Advancement
- Performance and Promotion Raises
- Agency social events
- Agency laptop provided, and choice of Agency Phone or Phone Stipend
- Exceptional benefits for our BTs (because our BTs deserve it) - Happy BTs: Happy learners, happy parents, and happy BCBAs
- Our BTs have a consistent (30+) hours policy
- RBT Certification Program for New Behavior Technicians in the Field
- Tuition Discounts, Supervision, Mentorship, and a formal Trainee Program for Employees Seeking Their BCBA Certification
- They get paid drive time AND mileage reimbursement policy
- They get exceptional pay
- They get full benefits (401(k) with company match, health insurance, etc.)
- They have PTO, paid holidays, AND Paid Self-care
- We have career growth opportunities for BTs and trainees, including a formal trainee program
