Insurance and ABA Utilization Management Coordinator

7 days ago


Skokie, Illinois, United States Spectrum Billing Solutions Full time
About the Role

This position requires a highly skilled Clinical Authorization and Revenue Specialist who can manage the entire revenue cycle process for ABA services. The ideal candidate will have a deep understanding of utilization review guidelines and a proven track record of ensuring medical necessity.

Key Responsibilities
  • Review patient clinical information to ensure medical necessity and compliance with utilization review guidelines.
  • Obtain initial and continuing authorization for treatment services from payers.
  • Manage authorization denials, including referral for peer review.
  • Document and record all necessary information.
  • Track and monitor new and ongoing authorization cases.
  • Communicate effectively with clinical staff to ensure timely reviews.
  • Provide guidance to external clients on payer requirements for authorizations.
Requirements
  • 3-5 years of related ABA and/or Behavioral Health experience.
  • Bachelor's or master's degree preferred.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Proficient in Microsoft Office Suite and electronic health records systems.
Benefits

As a valued member of our team, you will enjoy a competitive salary, comprehensive benefits package, and opportunities for growth and development.



  • Skokie, Illinois, United States Worthy Insurance Group Full time

    Job Description:Worthy Insurance Group seeks a dedicated Client Service Specialist to join our team in East Lansing, MI, Skokie, IL, and Lakewood, NJ areas. The ideal candidate should possess excellent problem-solving skills, be organized, and have a strong service background.About the Role:- Collaborate with Account Executives to prepare insurance...


  • Skokie, Illinois, United States Empowered Staffing Full time

    Empowered Staffing is a leading staffing agency partnered with a renowned independent insurance agency based in the Chicago area.The agency boasts over 75 years of experience, offering both personal and corporate insurance services, and has been recognized as a top Employee Benefits and Life Insurance agency.We are seeking a skilled Benefits Specialist to...


  • Skokie, Illinois, United States Worthy Insurance Group Full time

    Job OverviewWe are seeking a highly skilled and experienced Account Manager to join our team at Worthy Insurance Group. This is a full-time opportunity for a motivated individual who can effectively manage relationships with clients and insurance carriers.The ideal candidate will have a proven track record of success in the property & casualty insurance...


  • Skokie, Illinois, United States Worthy Insurance Group Full time

    Job Title: Account ManagerWe are looking for a skilled professional to join our team as an Account Manager at Worthy Insurance Group. The successful candidate will have 3+ years of Property & Casualty Insurance experience and a strong understanding of agency management systems.


  • Skokie, Illinois, United States Webster Dental Management Full time

    Webster Dental Management is seeking a highly skilled Billing Coordinator to join our team. In this role, you will play a vital part in ensuring the smooth operation of our billing processes and providing exceptional patient care.You will be responsible for managing cash flow, processing insurance payments, and maintaining accurate financial records. With...


  • Skokie, Illinois, United States Worthy Insurance Group Full time

    Job Summary:The Worthy Insurance Group is seeking a Client Service Specialist to support our Servicing Department. This role offers an excellent opportunity for candidates with a service background looking to shift careers or enter the insurance industry.About Us:Worthy Insurance focuses on providing creative insurance solutions to various industries,...


  • Skokie, Illinois, United States Worthy Insurance Group, LLC Full time

    Job TitleJoin our team as a Client Service Representative and take advantage of this exciting opportunity to provide top-notch customer service and support to our clients.About Our CompanyWorthy Insurance Group, LLC is dedicated to providing innovative insurance solutions to the healthcare, social service, and real estate industries. We prioritize employee...


  • Skokie, Illinois, United States Worthy Insurance Group, LLC Full time

    About the RoleWe are looking for a Commercial Lines Insurance Specialist to join our team at Worthy Insurance Group, LLC. The successful candidate will be responsible for developing and implementing loss prevention strategies for clients nationwide.The ideal candidate will possess strong analytical skills, with the ability to analyze and understand loss data...


  • Skokie, Illinois, United States Spectrum Billing Solutions Full time

    We are seeking a highly skilled Medical Billing Specialist to join our team at Spectrum Billing Solutions. This role involves working closely with our revenue cycle management team to ensure accurate and timely submission of insurance claims to payors.Key Responsibilities:Submit Electronic Claims in a timely and accurate mannerVerify correct insurance filing...


  • Skokie, Illinois, United States Empowered Staffing Full time

    Empowered Staffing is partnering with a leading independent insurance agency based in the Chicagoland area to find a skilled Benefits Specialist. As a member of the Group Insurance team, you will play a vital role in supporting Employee Benefits, working closely with Account Managers and Account Executives.About the Job:This Benefits Specialist position...


  • Skokie, Illinois, United States Worthy Insurance Group Full time

    About the RoleAs an Account Manager at Worthy Insurance Group, you will be responsible for marketing insurance applications, processing certificates of insurance, and collaborating with Producers and Account Executives. If you have excellent communication skills, creative problem-solving abilities, and a keen eye for detail, we want to hear from you.


  • Skokie, Illinois, United States Webster Dental Management Full time

    We are seeking a highly skilled Patient Services Representative to join our team at Webster Dental Management. As a key member of our front office staff, you will play a critical role in ensuring a positive patient experience from initial contact to completion of treatment.Estimated salary for this position is $45,000 - $55,000 per year, based on location...


  • Skokie, Illinois, United States Webster Dental Management Full time

    About the Role:We are seeking a skilled and enthusiastic Patient Services Representative to join our team at Webster Dental Management. As a key member of our front desk team, you will play a critical role in ensuring the smooth operation of our dental practice. Your main responsibilities will include answering phone calls, managing appointments, and...


  • Skokie, Illinois, United States Worthy Insurance Group Full time

    About the RoleAs an Account Manager, you will be responsible for developing and maintaining strong relationships with our clients and insurance carriers. This includes managing applications, processing certificates of insurance, and documenting conversations with clients and carrier personnel.You will also work closely with our producers and account...


  • Skokie, Illinois, United States Steinberg Behavior Solutions Inc Full time

    About the RoleWe are currently seeking a dedicated ABA Therapist to join our team at Steinberg Behavior Solutions Inc. As an ABA Therapist, you will play a critical role in providing high-quality therapeutic services to children with autism spectrum disorders.The ideal candidate will have at least 1 year of experience as an ABA therapist in-home and/or in...


  • Skokie, Illinois, United States Worthy Insurance Group, LLC Full time

    Job Title: Safety and Loss Prevention ConsultantEstimated Salary: $70,000 - $90,000 per year.About Worthy Insurance Group, LLC:We are a national Property & Casualty Insurance brokerage looking for a Safety and Loss Prevention Consultant to join our risk management team. Our ideal candidate will have strong working knowledge of industry operations, hazard...


  • Skokie, Illinois, United States Worthy Insurance Group Full time

    Role Overview:A Client Service Specialist is required to support our Servicing Department in East Lansing, MI, Skokie, IL, and Lakewood, NJ areas. This role offers an opportunity for candidates with a service background looking to shift careers or those entering the insurance industry.About Worthy Insurance Group:We provide creative insurance solutions to...


  • Skokie, Illinois, United States Worthy Insurance Group, LLC Full time

    About the RoleWe are looking for an exceptional Chief Operating Officer to join our team at Worthy Insurance Group, LLC. As the COO, you will play a vital role in driving business growth, improving operational efficiency, and ensuring regulatory compliance.Key ResponsibilitiesPartner with the CEO and executive team to develop and implement business...


  • Skokie, Illinois, United States Steinberg Behavior Solutions Inc Full time

    Job SummaryWe are seeking a skilled ABA Therapist to provide high-quality therapeutic services to children with autism spectrum disorders. As a member of our team, you will work closely with experienced Board Certified Behavior Analysts (BCBAs) to develop and implement individualized treatment plans.The successful candidate will possess at least 1 year of...


  • Skokie, Illinois, United States Steinberg Behavior Solutions Inc Full time

    About the RoleWe are seeking a highly motivated Behavioral Therapist to join our team at Steinberg Behavior Solutions Inc. as an ABA (Applied Behavior Analysis) Therapist.This is a full-time position that offers a highly competitive hourly compensation package, including mileage reimbursement, health and dental insurance for full-time employees, 401K with up...