ABA Authorization Specialist

The role

This person will complete prior authorizations and benefits verifications for ABA, Mental Health, IOP, and Psych Testing providers. They will also work with the Silna Product team to automate parts of the verification and authorization processes.

What you will do

• 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
• Complete prior authorizations using insurance portals or calling insurers directly
• Follow up with insurers and provide additional information to ensure authorization is approved
• Handle multiple prior authorizations simultaneously
• Create process to ensure top of the line performance
• Understand ABA- and other behavioral health-specific workflows, including creating treatment plans and 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 to help automate parts of the process
• Communicate effectively across multiple stakeholders

Required qualifications

• Prior Authorization (services, not medication): 2 years
• ABA/Autism or other Behavioral Health prior authorization: 2 years
• Insurance verification: 2 years
• Familiarity with payor portals and experience calling payors
• Operate with urgency, work independently, be highly organized, detailed oriented and multi-task effectively

Nice to have

• Strong understanding of insurance policies and ABA billing processes
• 2+ years of experience completing prior authorizations for ABA (preferred) or other behavioral health services
• Be familiar with providers software, including Electronic Medical Record Systems (EMR/EHR) like CentralReach and Rethink

Benefits

• 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
• A chance to make an impact on patients ability to access care

About the company

Silna Health attacks the root cause of denied claims by addressing fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks. They work across behavioral health, physical health, ambulatory care, and post-acute care.