ABA Authorization Specialist — Payer Liaison & Compliance

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.

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.

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

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.