Job Description

ID 2023-3181
Category Clinical
Position Type Full Time

Overview

We are currently seeking a skilled Clinical Authorizations Specialist to join our growing organization as a full time remote worker. Candidate must have active BCBA certification. The Clinical Authorizations Specialist will assist in client authorizations, reviewing treatment plans and other clinical documents, communicating with BCBAs for clinical information, and conducting clinical calls with insurance payors.

Proud Moments ABA is a behavioral health organization, providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. Proud Moments is a haven of knowledge and expertise for parents of children diagnosed on the autism spectrum. Our highly qualified BCBA/LBAs (Board Certified Behavior Analysts/ Licensed Behavior Analysts) possess years of experience and training and utilize their extensive skills to improve social, behavioral and adaptive skills with individually tailored programs. Proud Moments ABA services the five boroughs of NYC, Long Island, New Jersey, Syracuse, NY, Rochester, NY, Nevada, Virginia and the DC/ Maryland area - and has recently expanded through partnerships to Connecticut, Florida, Georgia, Massachusetts, Mississippi, New Mexico and North Carolina. We offer expert treatment, innovative techniques, and compassionate, child-centered care, scheduled at families\' convenience.

Responsibilities

-Reviewing treatment plans and clinical documents for clients\' ongoing/initial authorizations
-Ensuring medical necessity and behavior analytic principles are reflective in the treatment plan
-Submitting documents on a deadline
-Tracking and reporting any insurance feedback
-Conducting clinical calls with insurance payors

Qualifications

Required:

• Must have active BCBA certification.

Preferred:

• Experience conducting assessments and composing treatment plans/behavior intervention plans

WHAT WE OFFER:

• Competitive pay commensurate with experience and geographic region
• Flexible schedules
• Generous PTO
• Medical, dental and vision coverage
• 401K participation
• Employee Assistance Programs
• This role would qualify for indirect BCBA supervision hours

To apply, please submit your resume. Qualified candidates will be contacted via email.

Proud Moments ABA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, veteran status, sex, national origin, age, disability or genetics. In addition to federal law requirements, Proud Moments ABA complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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Proud Moments ABA