ABA Insurance Authorization & Eligibility Specialist

Sourcefit; Quezon City; On-site; PHP 279,000 - 502,000; Full time

Job summary

Sourcefit is seeking an ABA Authorization Specialist to support revenue cycle management for ABA therapy services. This role liaises with families, insurance providers, billing specialists, and clinical teams to ensure timely authorizations, accurate documentation, and compliant processes.

The position emphasizes accuracy, communication, and problem solving to monitor authorizations, track insurance requirements, and support continuity of care within an ethical, high-performing RCM team.

Qualifications

• Minimum of a HS Diploma.
• 1-3 years’ experience with funding sources and/or authorization processes preferred.
• Excellent communication, time management, problem solving, and organizational skills.

Responsibilities

• Verify patient’s insurance eligibility and benefits for ABA therapy.
• Communicate financial responsibility estimates to families based on insurance quotes.
• Partner with ABA Billing Specialists to identify patient responsibility amounts and ensure accurate collection expectations at the time of service.
• Obtain, monitor, and track referrals to ensure services are authorized and compliant with payer requirements
• Conduct follow-up communications with insurance carriers to obtain and monitor authorization status, ensuring timely approvals and continuity of care
• Monitor and track insurance requirements
• Follow up with clinical staff regarding missing treatment plans and discharge reports to ensure timely completion
• Secure ABA authorization for assessments and support with initial ABA therapy and ongoing ABA therapy authorizations
• Enter authorization information into the EMR system, to ensure that ABA therapy sessions can be scheduled and billed appropriately
• Stay current with authorization processes and requirements for each funding source
• Support with other tasks as needed within the ABA RCM department

Skills

Insurance verification

Authorization processing

Communication

Attention to detail

Problem-solving

EMR familiarity

Education

HS Diploma

Tools

EMR systems

Job description

Sourcefit is seeking an ABA Authorization Specialist to support revenue cycle management for ABA therapy services. This role liaises with families, insurance providers, billing specialists, and clinical teams to ensure timely authorizations, accurate documentation, and compliant processes.

The position emphasizes accuracy, communication, and problem solving to monitor authorizations, track insurance requirements, and support continuity of care within an ethical, high-performing RCM team.