Academy ABA

Job DetailsJob Location: Remote - Roswell, GA 30076Position Type: ContractorStudent Analyst Program Coordinator (BCBA Track) Position Summary The Student Analyst Program Coordinator is responsible for developing, implementing, and overseeing Academy ABA’s Student Analyst Program for individuals pursuing BCBA certification. This role ensures all supervision, training, and documentation align with Behavior Analyst Certification Board (BACB) requirements while building strong clinical competency through structured, hands-on learning experiences. Key Responsibilities Design and manage a structured Student Analyst Program aligned with BACB fieldwork standards Develop systems for tracking supervision hours, ensuring 60% unrestricted activities Create and implement a competency-based curriculum (3–6 month progression) Oversee and/or coordinate: Weekly individual supervision (30–45 minutes) Bi-weekly group supervision (30 minutes) Monthly fieldwork compliance checks Ensure all supervision documentation meets BACB compliance and audit standards Build and maintain: Supervision templates and tracking tools Competency checklists and evaluation rubrics Program guidelines and workflows Assign and monitor unrestricted clinical activities, including: Data analysis and graph interpretation Program writing and skill acquisition planning Functional Behavior Assessments (FBA) Behavior Intervention Plan (BIP) development Preference assessments and BST training Research review and application Implement quality assurance processes, including performance monitoring and remediation plans Train and support supervising BCBAs to ensure consistency across centers Continuously evaluate and improve program effectiveness and scalability Reporting Structure Reports to: Clinical Director or VP of Clinical Operations Key Metrics for Success Compliance with BACB supervision requirements Timely and accurate supervision documentation % of unrestricted hours achieved Competency progression of student analysts Program consistency and scalability across centers QualificationsQualifications BCBA certification required Strong knowledge of BACB supervision and fieldwork requirements Experience supervising trainees or RBTs preferred Strong organizational, documentation, and program development skills Ability to manage multiple learners and maintain compliance standard

Job DetailsJob Location: Remote - Roswell, GA 30076Position Type: Full TimeJob Category: Admin - ClericalPosition Summary The ABA Authorization & Revenue Cycle Coordinator is responsible for ensuring all services across assigned centers are properly authorized, billed, and reimbursed in a timely and accurate manner. This role partners with clinical, intake, and billing functions to maintain continuity ofcare and revenue integrity. This position supports two ABA centers and is accountable for preventing authorization gaps, reducing denials, and ensuring accurate claim flow. Key Responsibilities Authorizations Management Submit and track all initial and ongoing treatment authorizations (e.g., 97151, 97155, 97153) Monitor authorization status, approvals, and expirations Coordinate with BCBAs to ensure timely submission of assessments and treatment plans Maintain accurate authorization records in CentralReach (CR) Ensure no lapse in services due to expired or missing authorizations Authorization Tracking & Compliance Maintain tracking of all active authorizations, including dates and approved units Proactively flag upcoming authorization expirations to clinical and operations teams Ensure required documentation is submitted to prevent delays or denials Track discrepancies between requested and approved services and escalate as needed Maintain organized, audit-ready records of all authorization activity Claims & Billing Coordination Ensure all services are captured, converted, and submitted for billing Review and resolve claim rejections and denials Coordinate corrections with clinical and billing teams Track claims through full lifecycle (submission → adjudication → payment) Denials & Follow-Up Investigate denial reasons and identify root causes Submit corrected claims or appeals in a timely manner Follow up with payors on outstanding claims and unpaid balances Maintain documentation of payer communications Payor Coordination Verify insurance benefits and eligibility Communicate with Medicaid and commercial payors regarding authorizations and claims Resolve issues related to authorizations, credentialing discrepancies, and claim delays Reporting & Collaboration Provide weekly visibility into: Authorization status and upcoming expirations Claims status, denials, and AR follow-up Partner with BCBAs, Clinical Directors, Center Managers, and billing teams to ensure alignment Provide visibility into authorization limits that may impact scheduling, while clinical and operations teams maintain ownership of utilization management Qualifications 1+ years in medical billing, ABA billing, or revenue cycle management Experience with insurance authorizations (ABA/behavioral health preferred) Knowledge of ABA CPT codes (97151, 97153, 97155, etc.) Experience with Medicaid and commercial payors Strong attention to detail, organization, and follow-through Preferred: CentralReach (CR) experience; ABA setting experience

Job DetailsJob Location: Remote - Roswell, GA 30076Position Type: Full TimePosition Summary: The RCM Denials & Payor Compliance Specialist is responsible for resolving upheld and complex billing denials, strengthening internal billing processes, and ensuring alignment with payor guidelines. This role serves as a key partner to the RCM Director in improving collections performance, reducing denial trends, and maintaining compliance with all billing and payor requirements. Key Responsibilities: Denial Resolution (Primary Focus) Investigate and resolve upheld and complex claim denials across all payors Perform root cause analysis to identify trends and recurring denial drivers Develop and submit appeals, reconsiderations, and supporting documentation Collaborate with clinical, intake, and billing teams to obtain necessary information for resolution Maintain tracking of high-dollar and aged denial cases through resolution Payor Guidelines & Compliance Act as subject matter expert on payor billing rules, authorization requirements, and documentation standards Interpret and communicate payor policies to internal teams (billing, clinical, intake) Monitor updates to payor requirements and ensure timely internal implementation Support audits and ensure compliance with Medicaid and commercial payor regulations Process Development & Optimization Identify gaps in current billing and collections workflows contributing to denials Design and implement standardized processes to improve clean claim rates Develop SOPs and internal guidance for billing best practices Partner with RCM Director to transition and strengthen in-house billing operations Cross-Functional Collaboration Work closely with Clinical Directors, BCBAs, and Intake to resolve documentation or authorization-related denials Provide feedback loops to prevent future denials (e.g., documentation errors, credentialing issues) Support training initiatives for staff on billing compliance and documentation expectations Reporting & Insights Track and report on denial trends, resolution timelines, and financial impact Identify opportunities to improve reimbursement and reduce revenue leakage Provide regular updates to RCM Director on high-priority issues and risks Preferred Qualifications: Experience supporting or transitioning to in-house billing operations Prior experience working directly with payors on escalated issues Familiarity with multi-site healthcare or ABA organizations Key Competencies: Detail-oriented with strong follow-through Ability to navigate complex payor systems and policies Process-driven mindset with a focus on continuous improvement Strong sense of ownership and accountability Ability to work cross-functionally and influence outcomes QualificationsQualifications: 3+ years of experience in healthcare revenue cycle management, preferably in ABA or behavioral health Strong experience with denial management, appeals, and payor communications Knowledge of Medicaid and commercial insurance billing requirements Familiarity with CPT codes relevant to ABA services (e.g., 97151, 97153, 97155, etc.) Experience working with EMR systems (CentralReach preferred) Strong analytical and problem-solving skills Excellent written and verbal communication skills