1

Authorization Utilization Review Bcba Jobs in Indiana

Patient Access Ins Spec (BHS)

Granger, IN · On-site

$15.50 - $20.50/hr

... Utilization Review departments. They will be responsible for communication with insurance carriers and/or providers for purposes of obtaining approval for services requiring authorization, pre ...

Patient Access Ins Spec (BHS)

Granger, IN · On-site

$15.50 - $20.50/hr

... Utilization Review departments. They will be responsible for communication with insurance carriers and/or providers for purposes of obtaining approval for services requiring authorization, pre ...

Lead BCBA

Munster, IN · On-site

$72K - $88K/yr

... authorization. Ensures all standards of care are followed per state and insurance guidelines ... reviews, and completing forms to ensure appropriate funding for client services and staff ...

Lead BCBA

Munster, IN · On-site

$72K - $88K/yr

... authorization. Ensures all standards of care are followed per state and insurance guidelines ... reviews, and completing forms to ensure appropriate funding for client services and staff ...

Showing results 41-60

Authorization Utilization Review Bcba information

What is an authorization utilization review BCBA?

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.

What does an authorization utilization review BCBA do?

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 are the key skills and qualifications needed to thrive as an authorization utilization review BCBA?

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 most commonly searched types of Authorization Utilization Review Bcba jobs in Indiana?

The most popular types of Authorization Utilization Review Bcba jobs in Indiana are:

What job categories do people searching Authorization Utilization Review Bcba jobs in Indiana look for?

The top searched job categories for Authorization Utilization Review Bcba jobs in Indiana are:

What cities in Indiana are hiring for Authorization Utilization Review Bcba jobs?

Cities in Indiana with the most Authorization Utilization Review Bcba job openings:

Registered Behavior Technician (RBT)-KORTKids-Madison, IN

Select Medical

Madison, IN

$18/hr

Full-time

Re-posted 19 days ago


Job description

RBT's come join our team! KORT Kids Madison, IN is growing! 

KORTKids Madison, IN is a growing multi-disciplinary clinic that offers ABA, Speech Therapy, Occupational Therapy, and Physical Therapy. Our ABA team offers both clinic-based services under the direction of a Board Certified Behavior Analyst.  We are now hiring a full time Registered Behavior Technician (RBT).  

A Behavior Technician works 1:1 with children with an Autism diagnosis in the child’s homes and in our clinic. They implement ABA programs and Behavior Intervention Plans directed by a Board Certified Behavior Analyst (BCBA)/Case Manager. All therapists are supervised by the BCBA/Case Manager on a weekly basis. They are responsible for collecting and recording data based on observable client behavior. An ABA therapist implements services based on the principles of Verbal Behavior and Applied Behavior Analysis to children 2-12. They receive and implement feedback in a professional manner.

Responsible for delivering care for children served by KORT Kids Pediatric Therapy based on the principals of Applies Behavior Analysis. The Registered Behavior Technician (RBT) will work under the supervision of the BCBA and provide direct services to individuals with Autism. Training is provided.

Work Schedule: Monday-Friday 8:00a.m.-12:00p.m. 

Compensation:  Starting at $18/hour


  • Review Policies & Procedures manual on a yearly basis and adheres to the policies and procedures set forth as well as any updates.
  • Complete and maintain all Corporate & Clinical Services required trainings and maintain compliance with state/local/federal regulations.
  • Provide direct treatment and document for patients for whom ABA is medically necessary. 
  • Maintain ongoing documentation in which goals, progress toward functional goals, and medical necessity are clearly stated.
  • Complete all required documentation legibly or electronically, appropriately and in a timely fashion in order to meet facility, physician and payer deadlines.
  • Maintain open and respectful communication with co-workers, physicians, patients, family members, and third party payers at all times.
  • Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.)
  • Utilize time efficiently and effectively to meet productivity requirements of the facility.
  • Participate in and present clinical in-services.
  • Maintain current awareness of general changes in the healthcare field and specific issues impacting the practice of ABA.
  • Subject to limitations imposed by state/local/federal law.
  • Performs other duties or special projects as assigned.
  • Some travel may be required.
  • Demonstrates knowledge of behavioral principles and implements behavioral programming through mentorship with BCBA.
  • Monitors programs frequently and collaborate with BCBA to adjust targets based on progress through data analysis 
  • Communicates proactively with parents and staff regarding child’s program.
  • Ensures clear understanding of current behavior plans.

Required Skills & Abilities:

  • Ability to work effectively as a team member in a professional manner.
  • Strong organizational, time management and planning skills.
  • Effective clinical problem solving skills
  • Strong communication skills for accurate, concise, and organized oral and written presentations of information to patients and staff and referral sources.
  • Computer skills for effective reporting including documentation, billing, payroll, note taking, etc.
  • Requires the ability to function independently, have flexibility, personal integrity and the ability to work effectively with patients, personnel, and outside agencies.
  • Must be able to relate to and work with ill, disabled, elderly, emotionally upset and, at times, hostile people within an outpatient setting.

Minimum Qualifications:

  • High school diploma required.
  • Experience in pediatric healthcare setting or daycare
  • Cardio-Pulmonary Resuscitation (CPR) certification preferred or to be completed upon hire. 

Preferred Qualifications:

  • Bachelors Degree in Psychology or Behavioral Analysis
  • Pediatric behavioral technician experience.
  • Registered Behavior Technician (RBT) certification required.

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal-opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.