ABA Benefits and Authorizations Specialist - Remote

Job Description

ABA Benefits and Authorizations Specialist

ABS Kids is looking for an ABA Benefit and Authorization Specialist to join our team REMOTELY! As a Benefit and Authorization Specialist, you will inform potential clients about ABA benefits, submitting initial assessment authorizations and ongoing ABA Therapy authorizations. This position's main responsibility is to ensure ABA is a covered benefit and ABS will be reimbursed by ensuring that the client is covered with an authorization.

Our Administrative Support team members play a vital role in advancing our mission to make a difference in the lives of children with autism spectrum disorder and their families. Every team member at ABS Kids is passionate about providing best in class support to our direct care providers, who in turn deliver the highest quality ABA therapy to our patients.

What would you do?

• Works with Regional Directors and Intake team to fulfill BCBAs caseloads
• Understands and explains to clients what their Insurance policy covers and what process and documents we have to have in order to authorize and service ABA.
• Resolves customer complaints via phone or email.
• Compliance in CR software to "task" Consultants when re-authorizations are due
• Verifying Medicaid eligibility monthly and working with families and Consultants to hold therapy if applicable (Medicaid ineligible)
• Obtain benefits and authorization for commercial payors
• Adding codes to electronic health records system once authorization is obtained for converting and billing purposes
• Problem solving when Behavior Interventionists and Consultants are unable to convert time sheets
• Adhere to Federal HIPAA Regulations

Who are we looking for?

• High school diploma or GED
• 2 years+ in a customer service role
• Simple math requirements
• 2 years+ of Medical or Mental Health field administrative experience
• Excellent interpersonal/communication skills
• Ability to think critically and multitask
• High attention to detail
• Computer literacy skills in Microsoft Office

What do we offer?

• Highly competitive hourly rate
• Full benefits
• Remote work environment
• Opportunities for advancement

Who We Are:

• ABS Kids is dedicated to empowering children with autism spectrum disorders and their families to reach their full potential - helping them learn, grow and reach incredible milestones.
• We take pride in our stellar support for providers, so they can do what they do best - deliver the highest quality ABA Therapy to our patients.
• At ABS Kids we are empowered by the breadth of our differences. Our mission is to create a culture where all people thrive because their diverse stories are heard and celebrated. We commit to an evolving understanding of diversity as we learn from one another.
• We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.