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Authorization Utilization Review Bcba Jobs (NOW HIRING)

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Monitor the status of pending authorizations and document updates or changes to treatment plans in ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Monitor the status of pending authorizations and document updates or changes to treatment plans in ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Monitor the status of pending authorizations and document updates or changes to treatment plans in ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Responsibilities: • Prepares authorization paperwork, processes requests for authorizations, and ...

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Authorization Utilization Review Bcba information

What are the key skills and qualifications needed to thrive in the Authorization Utilization Review Bcba position, and why are they important?

To thrive as an Authorization Utilization Review BCBA, you need a strong background in applied behavior analysis, in-depth knowledge of utilization review processes, and active BCBA certification. Familiarity with insurance authorization platforms, electronic health record (EHR) systems, and current procedural terminology (CPT) coding is typically required. Excellent analytical skills, attention to detail, and effective communication abilities set outstanding candidates apart. These skills ensure accurate authorization decisions, regulatory compliance, and efficient collaboration with providers and insurance teams.

What are the primary responsibilities of an Authorization Utilization Review BCBA on a typical day?

An Authorization Utilization Review BCBA is primarily responsible for reviewing clinical documentation to determine the medical necessity of ABA services, preparing and submitting authorization requests to insurance companies, and responding to requests for additional information. The role involves collaborating closely with clinical staff, insurance representatives, and sometimes directly with clients or caregivers to ensure all documentation meets regulatory and payer requirements. You may also provide guidance to therapy teams on proper documentation and help streamline internal utilization review processes. This position requires balancing client advocacy with payer guidelines, making each day both detailed and dynamic.

What is an Authorization Utilization Review BCBA job?

An Authorization Utilization Review BCBA is responsible for reviewing treatment plans, ensuring medical necessity, and obtaining insurance authorizations for applied behavior analysis (ABA) services. They analyze data, collaborate with clinicians, and communicate with insurance providers to optimize care while adhering to policies and guidelines. Their goal is to ensure that ABA services are both effective and appropriately funded within insurance requirements.

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Authorization Utilization Review Bcba jobs near you

Utilization Review Coordinator

NRT |Foundry Treatment Center

Steamboat Springs, CO • On-site

$63K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Description:

Utilization Review Coordinator


Reports to: Utilization Review Manager

Job Category: Salaried | Exempt | Full-Time

Salary Range: $63,000-$85,000 per year (depending on experience and licensure)

Job Site: Remote

Schedule: Business hours, with potential for weekend rotation


Job Summary:

The Utilization Review Coordinator supports utilization review functions by obtaining and tracking authorizations, maintaining accurate documentation, and ensuring timely communication with payors and clinical staff. This role plays a key part in supporting continuity of care, regulatory compliance, and reimbursement for behavioral health services.


Education and Experience:

  • Bachelor’s degree required, Master’s degree preferred.
  • Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN).
  • Experience in utilization review, care coordination, or healthcare administration preferred.
  • Behavioral health experience strongly preferred.
  • Knowledge of insurance authorization processes and medical necessity criteria a plus.

Required Skills/Abilities:

  • Strong organizational and time management skills.
  • Attention to detail and accuracy.
  • Ability to manage multiple tasks and deadlines.
  • Clear and professional communication skills.
  • Ability to work collaboratively with clinical and administrative teams.
  • Problem-solving and follow-up skills.
  • Familiarity with electronic health records and healthcare documentation standards.
  • Proficient with Google Workspace or related software.

Duties/Responsibilities:

  • Submit initial and continued stay authorization requests to insurance payors.
  • Track authorization approvals, denials, and expiration dates.
  • Maintain accurate and timely documentation in the electronic health record.
  • Communicate authorization status to clinical and administrative staff.
  • Assist with gathering clinical information for utilization reviews and audits.
  • Follow up with insurance companies to ensure timely determinations.
  • Support peer-to-peer reviews by coordinating required documentation and scheduling.
  • Identify potential authorization issues and escalate to the Utilization Review Manager as needed.
  • Ensure compliance with payor requirements, timelines, and internal policies.
  • Assist with data tracking and reporting related to utilization and denials.
  • Other duties as assigned.

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Standing, sitting, bending, reaching.
  • Must be able to see, hear, talk, read, write, type.
  • Exposure to clinical and medical environments.

Benefits & Perks:

Health and Wellness

  • Medical, dental and vision insurance*
  • Supplemental accident and hospital indemnity coverage*
  • Voluntary Term Life insurance*
  • Employee Assistance Program
  • Monthly wellness reimbursement*

Financial

  • Competitive salary
  • Employee recognition and rewards programs
  • Employee referral incentive program
  • Employer-sponsored 401(k) plan

Work/Life Perks

  • Professional growth and development
  • Continuing education reimbursement
  • Unlimited paid time off (exempt employees) + sick days
  • Paid time off policy (non-exempt employees) + sick days
  • Paid holidays (exempt) or ability to earn 1.5x base hourly rate (non-exempt)

*Full-time employees


This description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.


Requirements: