ABA Authorization Specialist

Silna Health, Inc.; United States; Remote; USD 28,000 - 50,000; Full time

Benefits offered by this job

Remote role

Equity in the company

Job summary

Silna Health is seeking a prior authorization and benefits verifications expert to support ABA and other behavioral health providers. The role involves collaborating with the product team to automate parts of the verification process and ensure timely authorizations.

Remote work available, 40 hours per week. You will verify eligibility, gather patient information, and communicate decisions with insurers and providers to prevent care delays.

Qualifications

• 2+ years of ABA or behavioral health prior authorizations.
• Strong understanding of insurance policies, deductibles, co-insurance and out-of-pocket costs.
• Familiarity with payor portals and calling payors.
• Highly organized, detail-oriented and able to multi-task.

Responsibilities

• Collect patient information and communicate authorization decisions with ABA providers and billing teams.
• Verify patient eligibility and benefits with insurers; complete prior authorizations via portals or calls.
• Manage multiple prior authorizations concurrently and improve processes for efficiency.
• Understand ABA workflows and re-authorization needs; coordinate with product/engineering to share learnings.
• Communicate effectively across stakeholders and support remote operations.

Skills

Prior Authorization

Insurance Verification

ABA / Behavioral Health

Communication / Stakeholders

Job description

About Silna

Healthcare is obsessed with optimizing a broken system. We’re making sure it never breaks.

Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into decisions made in minutes, before care is ever delivered.

We work across behavioral health, physical health, ambulatory care, and post-acute care, where administrative failure doesn’t just cost money; it can delay or deny patient access entirely. We’re backed by Accel and Bain Capital Ventures, and we’re building fast.

About the Role

Silna is looking for an enterprising prior authorization and benefits verifications expert to work closely with our customers - ABA (Autism), Mental Health, IOP, and Psych Testing providers - and complete these administrative tasks on their behalf. This is a unique role, as you will also be working closely with the Silna Product team to automate parts of the verification and authorization processes.

Responsibilities

• 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, and expediently complete prior authorizations using insurance portals or calling insurers directly. Ensure authorization is approved in a timeline manner by following up with insurers and providing additional information
• Be responsible for handling multiple prior authorizations simultaneously and create process to ensure top of the line performance
• Understand ABA- and other behavioral health-specific workflows, including creating treatment plans, 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 about the prior authorization process to help automate parts of it
• Communicate effectively across multiple stakeholders
• Be willing to work 40 hours per week

Qualifications

• The ideal candidate will have a strong understanding of insurance policies and ABA billing processes
• 2+ years of experience completing prior authorizations for ABA (preferred) or other behavioral health services. Strong understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusions
• Have familiarity with payor portals and experience calling payors
• Have a strong work ethic: operate with urgency, work independently, be highly organized, detailed oriented and multi-task effectively
• Nice to have: 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
• Best of all, a chance to make an impact on patients ability to access care

Job Type: Full-Time

Experience:

• Prior Authorization (services, not medication): 2 years (Required)
• ABA/Autism or other Behavioral Health prior authorization: 2 years (Required)
• Insurance verification: 2 year (Required)

Work Location: Remote