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ABA Authorization Specialist
SilnaABA Authorization Specialist working remotely to assist providers with prior authorizations and benefits verifications. Collaborating with various stakeholders to improve workflow efficiency and patient care access.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ABA and behavioral health prior authorization workflows, including insurance verification and patient eligibility. Strong organizational skills and the ability to manage multiple authorizations efficiently while communicating effectively with stakeholders.
Highest-signal resume keywords
Prior Authorization ExperienceInsurance Policy UnderstandingBehavioral Health KnowledgePayor Portal FamiliarityElectronic Medical Record Systems
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior AuthorizationInsurance VerificationPatient EligibilityBehavioral Health BillingTreatment Plan Creation
Soft Skills
Strong Work EthicDetail OrientedHighly OrganizedEffective CommunicationMulti-tasking
Tools & Technologies
CentralReachRethinkEMREHR
Industry Keywords
ABABehavioral HealthInsurance PortalsDeductiblesCo-insuranceBenefits Exclusions
About the role
Key responsibilities & impact- Work closely with ABA / behavioral health providers and their billing teams 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- and other behavioral health-specific workflows, including creating treatment plans, re-authorization
- Become a subject matter expert in behavioral health 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
Requirements
What you’ll need- The ideal candidate will have a strong understanding of insurance policies and ABA billing processes
- 2+ years of experience completing prior authorizations for ABA *(preferred)* or other behavioral health services. 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
Benefits
Comp & perks- An highly competitive hourly rate
- Chance to move from contractor to a well compensated full time position, which includes benefits and equity in the company
- Remote role
- Best of all, a chance to make an impact on patients ability to access care