Logo
Ne Arc

Insurance Verification & Authorization Specialist- ABA Services

Ne Arc, Danvers, Massachusetts, us, 01923

Save Job

Why have a job when you can have a purpose?

A meaningful career is waiting for you! View some of our featured job openings and learn about the people you’ll be supporting.

Are you a passionate leader ready to shape the future of behavioral health services? Join Northeast Arc as our Clinical Director of ABA and help transform lives through innovative, person-centered care in our dynamic residential programs.

As a BCBA at Northeast Arc you will supervise, mentor, and work closely with behavior therapists and families in home, community, center, and clinic settings.

As a Behavior Therapist you will support children, teens, and young adults with Autism Spectrum Disorder, using an evidence-based approach alongside BCBAs, Early Intervention staff, families, and caregivers. Full-time, part-time, and per diem opportunities are available.

Want to learn American Sign Language and like to laugh? We have a great opportunity for you to learn; there is a Deaf individual that lives in Swampscott who would love to teach you ASL.

As a Residential Supervisor, you will oversee the daily operations of our residential homes, ensuring that our services meet the highest standards.

The Residential RN Case Manager supervises and assists with the coordination of all aspects of health care for the individuals served within our residential homes.

Insurance Verification & Authorization Specialist- ABA Services

Northeast Arc

is seeking a detail-oriented and proactive Insurance Verification & Authorization Specialist to support our Specialty ABA Services Division!

Job Summary:

Manages all aspects of insurance verification and coordination for clients enrolled in ABA Services. Ensures timely and accurate collection, verification and maintenance of insurance information to support service delivery and billing compliance. Collaborates with administrative staff and program leadership to troubleshoot insurance issues and maintain payer readiness.

Important Requirements:

*** Minimum of 2 years of experience in insurance verification, and healthcare administration. Minimum of 1 year experience in authorizations for aba services.***

Major Responsibilities:

Verifies insurance eligibility for all clients at the time of referral.

Acts as a point of contact for clients explaining insurance coverage, answering benefit questions, and providing clear information regarding out-of-pocket expenses.

Contacts insurance companies to secure authorizations for all required services.

Works in collaboration with program directors and BCBA’s on ensuring authorizations are accurate and up to date.

Troubleshoots insurance-related issues, including coverage denials, coordination of benefits, and missing information. Navigates insurance portals and online tools, resolves billing discrepancies, and provides documentation and updates as needed.

Ensures accurate and up-to-date client and insurance data entries in electronic health records (EHR) system, maintains consistency and accuracy.

Other duties and special projects as assigned.

Education and Experience:

High School Diploma or Equivalent.

Required

Minimum of 2 years of experience in insurance verification, and healthcare administration. Required Minimum of 1 year experience in authorizations for aba services.

Skills, Knowledge and Abilities:

Strong understanding of insurance processes including Medicaid, commercial insurance, and managed care plans. Proficiency in electronic health records (EHR) and data systems. Excellent analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions. Knowledge of HIPAA regulations to ensure client confidentiality is maintained at all times. Strong attention to detail and ability to work independently while managing multiple tasks efficiently. Excellent communication skills, both verbal and written, to interact with clients and healthcare professionals effectively. Familiarity with Early Intervention regulations and service models.

Work Environment:

Performed in an office-environment

When you work for Northeast Arc you’re joining a purpose-driven team dedicated to creating inclusive communities for people with disabilities. We’re a diverse workforce united by the common goal of changing lives and discovering abilities for the people we support.

A Job with a Purpose Employment at Northeast Arc is more than just a job — so much more. We are a mission-driven agency committed to changing lives and discovering abilities. Whether it’s the individuals we serve or our employees who support them, we know that each person has a unique set of skills and contributions to make. We value the individual perspectives, cultures and approaches that our employees bring to make us one of the most innovative organizations in human services.

As one of the largest Arcs in the country, positively impacting the lives of 10,000 people in nearly 200 Massachusetts communities and employing over 1,200 people, we offer numerous opportunities for personal and professional growth. It’s our goal as an employer to provide an enriching and supportive environment for our employees and their families.

At Northeast Arc we celebrate our differences in all forms and are committed to creating an inclusive community for our employees and the individuals we serve. Inclusion is our mission, and it informs every aspect of our agency. Northeast Arc’s Race, Diversity, and Inclusion Committee provides educational opportunities to employees and regularly solicits feedback from our workforce in order to make sure diverse backgrounds and perspectives are represented.

Our amazing employees were all drawn to Northeast Arc for different reasons, and bring diverse sets of skills to their jobs. One thing that unites them is their desire to help the individuals we serve reach their full potential. Swipe through the images below to meet some of our employees.

“You’re in the clients’ homes every month and, immediately, I loved it. That bond of visiting people, it’s really nice. You go into their homes, and they treat you like family. Knowing that you’re trying to get something done and be an advocate for them, that’s the best feeling.”

Ivonne Sanchez Bilingual Lead Case Manager | Adult Family Care (AFC)

Support Group for Parents of Children/Adults with Autism and Mental Health Conditions #J-18808-Ljbffr