ABA Authorization Coordinator

Phoenix Autism Center; Phoenix (AZ); On-site; USD 42,000 - 68,000; Full time

Job summary

A behavioral health service provider in Arizona seeks an Authorization Coordinator responsible for managing the end-to-end process of insurance authorizations across various service lines. This role is crucial in maintaining compliance with payer requirements and ensuring uninterrupted services for clients. Candidates should have a Bachelor’s degree in healthcare administration and at least 2 years of experience in medical authorizations. Strong organizational skills and proficiency in electronic medical records are essential.

Qualifications

• Minimum 2 years of experience in medical authorizations, preferably in a behavioral health or ABA setting.
• Knowledge of AHCCCS and commercial payer requirements.
• Ability to manage multiple deadlines.
• Proficient in electronic medical records systems and payer portals.
• Strong organizational skills and ability to manage multiple deadlines.
• Excellent written and verbal communication skills.
• Detail-oriented and self-motivated with a commitment to quality and accuracy.

Responsibilities

• Submit initial, concurrent, and reauthorization requests for ABA services.
• Monitor and track authorization expiration dates to ensure timely re-submissions.
• Work with clinical supervisors to gather required documentation for authorizations.
• Maintain records of all authorizations in EMR and payer portals.
• Serve as point of contact for payers on authorization-related issues.
• Coordinate with Billing and Intake to align authorizations before service delivery.
• Audit authorizations for compliance and accuracy.
• Assist in appeals and peer review processes for denied authorizations when needed.
• Support payer audits or site visits related to utilization management.
• Ensure confidentiality and HIPAA compliance.

Skills

Knowledge of Medicaid

Excellent written and verbal communication skills

Strong organizational skills

Detail-oriented

Proficient in electronic medical records systems

Education

Bachelor’s degree in healthcare administration or related field

Job description

The Authorization Coordinator is responsible for ensuring timely and accurate acquisition and tracking of authorizations for all clinical services provided at Phoenix Autism Center. This role is critical in maintaining compliance with payer requirements and ensuring uninterrupted services for clients.

This position will manage the end-to-end process of insurance authorizations across all Phoenix Autism Center service lines (Early Intervention, Adolescents, Teens, and Community-Based Services). It will serve as a key liaison between clinical teams, billing, and payer sources to ensure that all services rendered are pre-approved and documented in accordance with payer policies.

Responsibilities

• Submit initial, concurrent, and reauthorization requests for ABA services to all payer sources, including Medicaid, and commercial insurances.
• Monitor and track authorization expiration dates and ensure timely re-submissions to avoid gaps in service.
• Work closely with clinical supervisors to gather required documentation, treatment plans, progress reports, and assessments for authorization packets.
• Maintain accurate and up-to-date records of all authorizations in the EMR and payer portals.
• Serve as a point of contact for payers regarding authorization-related issues, denials, or clarification requests.
• Collaborate with the Billing and Intake departments to ensure authorization alignment before service delivery begins.
• Audit authorizations periodically to ensure compliance and accuracy.
• Assist in appeals and peer review processes for denied authorizations when necessary.
• Participate in payer audits or site visits related to authorization or utilization management.
• Ensure confidentiality and compliance with HIPAA regulations.

Qualifications

• Bachelor’s degree in healthcare administration or related field preferred.
• Minimum 2 years of experience in medical authorizations, preferably in a behavioral health or ABA setting.
• Knowledge of Medicaid, AHCCCS, and commercial payer requirements.
• Proficient in electronic medical records systems and payer portals.
• Strong organizational skills and ability to manage multiple deadlines.
• Excellent written and verbal communication skills.
• Detail-oriented and self-motivated with a commitment to quality and accuracy.