.. need fortherapy services, if appropriate. Uses support personnel according to legal standards and ethical guidelines. Monitors the care delivered by support personnel and provides regular feedback. Documents evaluations and plans of care according to department policy including goals, modifications of .. read more
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:
- High School Diploma or equivalent required; Associate’s Degree or higher in a relevant field preferred
- Minimum of one years of experience in medical billing, insurance verification, or authorization coordination, within an ABA or healthcare related field required
- Strong working knowledge of insurance portals and insurance terminology
- Familiarity with various insurance carriers, including medicaid billing processes.
- Certification in medical billing or healthcare administration preferred
- Experience with electronic health record system (ERMS), preferably Central Reach, required
Knowledge, Skills and Abilities:
- Demonstrated commitment to upholding ethical standards and promoting a positive workplace culture characterized by fairness, respect, & inclusivity
- Ability to work effectively and stay solution-oriented within a fast-paced environment
- Proven ability to work effectively cross-functionally within all levels in the organization
- Strong proficiency with E-Signature Softwares, Microsoft Office (PowerPoint, Excel, Outlook) and G Suite
- Proven organizational skills through strong time management and meticulous attention to detail
- Excellent written and verbal communication skills with timely response rates
- Strong customer service skills, including professionalism, patience, and a positive attitude
- Familiarity with HIPAA regulations and patient confidentiality practices.
- Problem-solving skills and the ability to handle challenges related to insurance claims and authorizations.
Physical Demands:
- While performing the duties of this job the employee is regularly required to operate a computer, telephone, tablet and keyboard.
Work Environment:
- Remote position that offers the flexibility to work from any location with a stable internet connection that has minimal distraction with adaptable technology needed.
Benefits
Benefits for All ABtA Employees:
- Exceptional and Competitive Wages
- Paid Time Off (PTO)
- Paid Holidays
- Paid Self Care Time
- Amazing Employee Assistance Program (EAP) for all employees (plus their partners and dependents) which includes counseling services, financial services, legal services, discounts and more!
- Flexible Schedules
- 401k Retirement Plan with a company match
- Healthcare Insurance Options (Medical, Dental, Vision and Life)
- Ancillary Insurance Options through Aflac (STD, LTD, and more!)
- Flexible Spending Account (FSA) for medical expenses and dependent care expenses
- Mileage Reimbursement & Paid Drive Time Policies
- Initial and Ongoing Paid Training and Supervision
- Opportunities for Career Advancement
- Performance and Promotion Raises
- Agency social events
- Agency laptop provided, and choice of Agency Phone or Phone Stipend
- Exceptional benefits for our BTs (because our BTs deserve it!)- Happy BTs: Happy learners, happy parents and happy BCBAs!
- Our BTs have a consistent (30+) hours policy
- RBT Certification Program for New Behavior Technicians in the Field
- Tuition Discounts, Supervision, Mentorship, and a formal Trainee Program for Employees Seeking Their BCBA Certification
- They get paid drive time AND mileage reimbursement policy
- They get exceptional pay!
- They get full benefits (401(k) with company match, health insurance, etc.)
- They have PTO, paid holidays, AND Paid Self care
- We have career growth opportunities for BTs and trainees, including a formal trainee program
Compensation Range: $17.00-23.00