Remote ABA Insurance Verifications & QA Specialist

ISTA Personnel Solutions; United States; À distance; USD 60 000 - 90 000; Plein temps

Résumé du poste

ISTA Personnel Solutions is recruiting an ABA Insurance Verifications & QA Specialist for a fully remote role serving US clients. You will verify out-of-network benefits, manage authorisations, and review session notes while supporting a growing ABA team.

The role requires strong attention to detail, excellent English, and the initiative to work independently from South Africa with US-aligned hours.

Qualifications

• ABA terminology and QA processes familiarity.
• Comfortable communicating with US insurers via phone or email.
• Excellent written and spoken English.
• Strong attention to detail and accuracy.
• Ability to work remotely and manage time effectively.

Responsabilités

• Pick up benefit checks from Monday.com board for new enquiries and existing clients who change insurance.
• Call US insurers to verify out-of-network benefits across services, including coverage or exclusions, visit limits, deductibles, co-insurance and maximum out-of-pocket.
• Record benefits accurately on the board.
• Send patient responsibility contracts to parents once a payment plan is agreed, and follow up until signed and returned.
• Load authorisations into CentralReach so therapists can bill.
• Extend or renew all authorisations before January, then re-verify every client’s benefits in the first two weeks of January when plans reset.
• Review flagged session notes in CentralReach and NoteGuard AI.
• Check that amendment notes have been signed, then clear the label so sessions can move to payroll.
• Resolve rule flags internally where possible and escalate to therapists when needed.
• Over time, support authorisation utilisation checks and follow-up on unconverted timesheets.

Connaissances

ABA terminology

US insurer liaison

English proficiency

Outils

Microsoft 365

Outlook

Excel

Description du poste

ISTA Personnel Solutions is recruiting an ABA Insurance Verifications & QA Specialist for a fully remote role serving US clients. You will verify out-of-network benefits, manage authorisations, and review session notes while supporting a growing ABA team.

The role requires strong attention to detail, excellent English, and the initiative to work independently from South Africa with US-aligned hours.