What are the responsibilities and job description for the ABA Authorization Specialist position at A Bridge to Achievement?
Mastermind of Strategic Learner Authorization Needed!
ABtA is seeking a ABA Authorization Specialist to join our team! This is a remote position but the applicant must live locally in North Carolina.
The Insurance Authorization Specialist is responsible for ensuring the efficient processing of insurance claims and authorizations for Applied Behavior Analysis (ABA) services. This position is responsible for verifying insurance coverage, obtaining authorizations, and navigating the complexities of insurance policies and procedures. This position requires meticulous attention to detail, strong organizational skills, and the ability to communicate effectively with insurance companies, clients, and internal team members.
Who is ABtA?
A Bridge to Achievement is a rapidly growing agency that provides family-centered Applied Behavior Analysis (ABA) services, emphasizing the future of children with ASD and their families. Our expert team of Board Certified Behavior Analysts (BCBAs) and highly trained behavior technicians use evidence-based ABA methods to teach children social, communication, play, cognitive, and self-care skills, while reducing problem behaviors in a variety of settings based on the family needs.
At ABtA, we understand that ASD has a dramatic and lifelong impact on individuals with this diagnosis and their families. We partner with parents to understand their children by identifying their strengths, interests, and learning styles. Using ABA and other evidence-based techniques, our highly-trained clinicians focus on therapies and interventions that use positive reinforcement to teach the children we support to reach their full potential. We then integrate our services in a variety of settings striving to create the most effective learning experience and promote positive change across all aspects of the lives of the children we serve and their families.
Why should you choose a career with ABtA?
Our unique organizational approach to our administrative processes allows those familiar with the ABA or ASD field an opportunity to expand their (or switch to! ) non-clinical career. By joining the ABtA Admin Department, you will help contribute to the overall success of our learners, centers, and agency through the integral job duties listed below.
ESSENTIAL FUNCTIONS :
- Verify insurance coverage and eligibility for Applied Behavior Analysis (ABA) services in an accurate and timely manner.
- Obtain authorizations from insurance companies for initial assessments, ongoing treatments, and additional services as needed.
- Maintain and update authorization deadlines for all services for agency
- Review and interpret insurance policies to determine and document coverage limitations and exclusions.
- Communicate effectively with insurance companies and / or billing teams to resolve issues related to claims and authorizations.
- Collaborate with the intake, clinical and billing teams to ensure timely and accurate submission of necessary documentation.
- Performs re-authorization and eligibility checks in a timely manner.
- Maintain detailed records of authorizations, claims, and communications with insurance providers.
- Stay updated on changes in insurance regulations, policies, and procedures related to ABA services.
- Provide support and guidance to clients and their families regarding insurance coverage and authorization processes.
- Notifies Client Services Management regarding lack of payer coverage or other service non-
- coverage issues.
- Maintains professional, positive and effective communication with payers, clients, agency employees.
- Maintains confidentiality of all information pertaining to clients, families and employees.
Requirements
Qualifications Requirements :
Knowledge, Skills and Abilities :
Physical Demands :
Work Environment :
Benefits
Benefits for All ABtA Employees :
Compensation Range : $17.00-23.00
Salary : $17 - $23
