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ABA Authorizations Specialist

2 months ago

Twin Cities, United States Fraser Full time

We are seeking a dedicated ABA Authorizations Coordinator to enhance the operations of our ABA clinics. In this pivotal role, you will collaborate closely with the authorizations and eligibility team as well as clinical personnel to secure timely and precise prior authorizations for clients receiving ABA services. You will also conduct quality assurance assessments and compliance reviews of service authorization requests submitted by clinical staff. This position offers an excellent opportunity to learn from experienced professionals and to advance your career within the organization.

Key Responsibilities:

  • Evaluate reports, monitor, and secure the necessary authorizations for all ABA services.
  • Assist clinical staff in obtaining authorizations before the commencement of services and prior to the expiration of current authorizations, in collaboration with the prior authorizations team.
  • Maintain accurate records of prior authorization request statuses within the expected timeframe and with all required documentation.
  • Work in close partnership with relevant revenue cycle team members and other stakeholders (e.g., third-party authorization agents) to address any inquiries regarding prior authorization requests.
  • Communicate prior authorization outcomes, whether approvals or denials, to clinical staff as necessary.
  • Review and assess documentation from clinical staff for the accuracy of clinical content to comply with regulatory and payor contract requirements before requesting service authorization.
  • Understand the expectations set by regulatory bodies (e.g., EIDBI, commercial payors) concerning documentation compliance, adhering to current regulations and best practices for quality assurance and compliance.
  • Develop and maintain tracking systems to monitor service authorization requests, identifying and suggesting methods to streamline processes and enhance efficiencies.
  • Collaborate with ABA Managers, ABA Supervisors, clinical staff, Revenue Cycle, Health Information Management (HIM), IT, and other departments as needed to ensure high-quality documentation is completed, distributed, and appropriately filed.

Fraser Offers:

  • A collaborative and relationship-focused culture
  • Established career pathways and internal advancement opportunities
  • Competitive salary
  • Comprehensive training and generous paid time off
  • Medical, Dental, and Vision Insurance options for staff working 30+ hours per week
  • Referral bonuses available
  • Various discounts (e.g., Verizon, Metro Pass, etc.)

Requirements:

  • High School Diploma or Equivalent
  • Ability to achieve and maintain status of "may provide direct contact for this agency" upon completion of criminal background studies.
  • Previous experience with typing and proficient use of Microsoft Word and Excel is required.
  • Experience with Electronic Medical Records is preferred.
  • Ability to utilize technology and operate office equipment, such as copy machines, fax machines, and Dictaphones is preferred.
  • Fluency in English, including both verbal and written communication with internal and external contacts, is required.
  • Strong command of basic English communication skills.
  • Ability to identify problems, gather and analyze data, establish facts, and draw valid conclusions is essential.

Health and Safety Commitment: Fraser prioritizes the health and safety of our clients and staff. We have implemented health and safety protocols to mitigate the risk of COVID-19, which are continuously updated based on current guidance and best practices from relevant health authorities.

Fraser is an Affirmative Action and Equal Opportunity Employer.

This position will remain open until filled. To be formally considered, you must apply online.