ABA Authorizations Associate

ely with BCBAs, intake, billing, and insurance providers to maintain compliance and prevent service disruptions.
Key Responsibilities:
• Submit initial and concurrent authorization requests to insurance providers in a timely manner
• Track authorization statuses and proactively follow up on pending requests
• Verify insurance benefits and confirm coverage for ABA services
• Review assessment reports and treatment plans to ensure required documentation supports authorization requests
• Communicate authorization approvals, denials, and required corrections to clinical and administrative teams
• Maintain accurate records of authorization units, dates, and service codes in our EMR system CentralReach.
• Monitor expiring authorizations and coordinate re-authorizations before lapse
• Assist in resolving authorization-related billing issues
• Ensure compliance with payer requirements and company policies
• Collaborate with BCBAs to obtain necessary documentation for submissions

Qualifications:
• 1–3 years of experience in healthcare insurance verification or authorizations (ABA experience strongly preferred)
• Knowledge of CPT codes related to ABA services
• Experience working with commercial insurance, Medicaid, and managed care plans
• Familiarity with EMR system CentralReach preferred
• Strong attention to detail and organizational skills
• Ability to manage multiple deadlines in a fast-paced environment
• Excellent written and verbal communication skills

Core Competencies:
• Strong follow-up and problem-solving abilities
• Ability to interpret insurance policies and payer guidelines
• High level of confidentiality and professionalism
• Effective collaboration with clinical and administrative teams
• Proactive time management and task prioritization

Work Environment:
• Office-based
• Full-time position
• Standard business hours with occasional follow-up outside regular hours as needed

Position Overview Statement:

The ABA Authorizations Associate plays a critical role in ensuring uninterrupted services for clients by managing insurance approvals efficiently and accurately. Success in this role requires attention to detail, strong communication, and the ability to navigate insurance systems confidently. The ABA Authorizations Associate ensures documentation integrity, timely submissions, and proper tracking of authorizations to support operational and financial stability. The ABA Authorizations Associate works closely with clinical leadership to prevent gaps in care and maintain compliance with payer requirements. Ultimately, the ABA Authorizations Associate contributes directly to the organization’s ability to deliver consistent, high-quality ABA services.

Compensation:

$15-$20/ Hour

Pay also based on prior experience.