Cares about You.
ABA Authorization Specialist
Location
United States
Posted
3 days ago
Salary
$26 - $28 / hour
Seniority
Mid Level
Job Description
ABA Authorization Specialist
Velvet CARE sp. z o.o.
• Work closely with ABA / behavioral health providers and their billing teams to collect accurate patient information and communicate authorization decisions • Work with insurers to verify patient eligibility and benefits, and expediently complete prior authorizations using insurance portals or calling insurers directly. Ensure authorization is approved in a timeline manner by following up with insurers and providing additional information • Be responsible for handling multiple prior authorizations simultaneously and create process to ensure top of the line performance • Understand ABA- and other behavioral health-specific workflows, including creating treatment plans, re-authorization • Become a subject matter expert in behavioral health prior authorization workflows for large insurers • Work closely with Silna Product/Engineering teams to share learnings about the prior authorization process to help automate parts of it • Communicate effectively across multiple stakeholders • Be willing to work 40 hours per week
Job Requirements
- The ideal candidate will have a strong understanding of insurance policies and ABA billing processes
- 2+ years of experience completing prior authorizations for ABA *(preferred)* or other behavioral health services. Strong understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusions
- Have familiarity with payor portals and experience calling payors
- Have a strong work ethic: operate with urgency, work independently, be highly organized, detailed oriented and multi-task effectively
- Nice to have: Be familiar with providers software, including Electronic Medical Record Systems (EMR/EHR) like CentralReach and Rethink
Benefits
- An highly competitive hourly rate
- Chance to move from contractor to a well compensated full time position, which includes benefits and equity in the company
- Remote role
- Best of all, a chance to make an impact on patients ability to access care
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