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ABA Authorization Specialist

Behavioral Health Works, Inc.

Remote · 全职

抢先申请

经验
2+ yrs
薪水
USD 24 – USD 25 / hour
职位空缺
1
发布
3 天前
Work mode
在家办公
学历
Associate's or Bachelor's degree preferred
Eligibility
Professionals with experience in healthcare authorizations, insurance verification, or utilization management are a strong fit, particularly those who have worked with ABA therapy, payer requirements, and healthcare documentation.
Resume
Required to apply

职位描述

About the Company

Behavioral Health Works is a growing organization focused on expanding in a measured and responsible way. The company delivers individualized ABA therapy for children and adolescents with Autism Spectrum Disorder (ASD). Its BCBAs, case supervisors, and technicians work alongside families to build treatment plans that match each child’s specific needs.

Role Summary

The ABA Authorization Specialist oversees the approval process for ABA therapy services so clients can access care without delay and in line with insurer rules and internal standards. The role partners with clinical staff, insurance payers, and internal teams to secure, monitor, and renew service authorizations while helping maintain continuity of care.

Compensation

The position pays an hourly rate of $24 to $25, depending on experience.

Benefits for Full-Time Employees

  • Flexible work schedules
  • Medical, dental, chiropractic, and vision coverage
  • Critical illness, voluntary life, accident, hospital confinement, and basic life insurance options
  • 401(k) retirement plan
  • Discounts on pet insurance
  • Paid time off
  • Employer-paid holidays, including 6 fixed holidays and 3 floating holidays
  • Support for professional development
  • Employee referral program
  • Reduced tuition at partner universities such as National University, California Southern University, Vanguard University, Capella University, and Purdue Global

What the Company Offers

  • Remote flexibility with scheduling options
  • Competitive pay
  • A broad benefits package
  • Room to build skills and advance professionally
  • A supportive and inclusive workplace

Key Responsibilities

  • Prepare, submit, and oversee initial, concurrent, and reauthorization requests for ABA therapy
  • Keep authorization timelines under review and follow up with payers to secure approvals on time and avoid gaps in care
  • Track usage against approved hours and monitor end dates so renewal requests are filed within the required window
  • Share authorization decisions, denials, changes, and requests for more information with the relevant internal teams
  • Work with BCBAs and clinical staff to collect treatment plans, assessments, progress notes, and other supporting documents needed for submissions
  • Check payer-specific authorization rules and stay current on commercial insurance, Medicaid, and managed care requirements
  • Help address authorization problems, denials, and appeals when needed
  • Keep authorization data accurate and up to date in CentralReach and other internal systems
  • Ensure activities remain compliant with payer policies, HIPAA, and company procedures
  • Assist with reporting, audits, process improvements, and other administrative work as assigned

Qualifications

  • An associate’s or bachelor’s degree in Healthcare Administration, Business Administration, Psychology, or a similar discipline is preferred
  • At least 2 years of experience in healthcare authorizations, insurance verification, utilization management, or another related administrative healthcare role
  • Prior experience handling ABA therapy authorizations is strongly preferred
  • Working knowledge of authorization workflows, commercial insurers, Medicaid, and managed care plans
  • Hands-on experience with CentralReach, especially the Authorizations Module
  • Comfort using Google Workspace tools such as Sheets, Docs, Gmail, and Drive
  • Strong organization and attention to detail
  • Clear written and verbal communication skills
  • Ability to juggle multiple priorities and meet deadlines in a fast-moving environment

Preferred Experience

  • Background in behavioral health, ABA, or pediatric healthcare
  • Exposure to appeals and denial resolution
  • Experience working with several insurance carriers across multiple states

Additional Information

This is a full-time remote position based in California, United States. The role is centered on helping children and families maintain uninterrupted access to high-quality ABA services through efficient authorization management.

Who Should Apply

Candidates with experience in healthcare administration and insurance authorizations, especially those familiar with ABA services, payer processes, and case documentation, are well suited for this role.

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