silnahealth.com - ABA Authorization Specialist
Requirements
• 3+ years of experience completing prior authorizations for ABA services specifically (not medications), with 2+ years of experience in ABA/Autism doing prior authorizations. 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 • Job Type: Full-Time • Prior Authorization (services, not medication): 2 years (Required) • Insurance verification: 1 year (Required) • ABA/Autism prior authorization: 2 years (Required) • Work Location: Remote
Responsibilities
• Work closely with ABA providers and their billing team 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-specific workflows, including creating treatment plans, re-authorization • Become a subject matter expert in ABA 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
Benefits
• Base Salary$26 – $28 per hour • Upload your resume here to autofill key application fields. • Drop your resume here! • Parsing your resume. Autofilling key fields... • or drag and drop here • Note: In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. • How many years of prior authorization experience do you have? • How many years of ABA/Autism prior authorization experience do you have? • Used only for scheduling, payroll setup, and location-based work eligibility. We don’t use this to make hiring decisions.
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