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Bcba Insurance Reviewer Jobs in Ohio (NOW HIRING)

April ABA

Board Certified Behavioral Analyst (BCBA)

Dayton, OH · On-site

$71K - $87K/yr

Caseloads are reviewed regularly based on client progress and treatment variables. * Adjustments ... Conduct initial assessments, reassessments, and authorization requests in accordance with insurance ...

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MonArk ABA

Board Certified Behavior Analyst

Lima, OH · On-site

$68K - $83K/yr

We are seeking a Board Certified Behavior Analyst (BCBA) to join our growing ABA therapy team! This ... Dental insurance * Health insurance * Paid time off * Vision insurance * Flexible Schedule

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Bcba Insurance Reviewer information

What is a BCBA Insurance Reviewer?

A BCBA Insurance Reviewer is a Board Certified Behavior Analyst (BCBA) who evaluates insurance claims related to applied behavior analysis (ABA) therapy. They review treatment plans, ensure medical necessity, and determine compliance with insurance policies. Their role involves collaborating with providers, patients, and insurance companies to approve or deny coverage based on clinical guidelines. This position helps ensure that ABA services are appropriately authorized and reimbursed.

What are the typical daily responsibilities of a BCBA Insurance Reviewer?

As a BCBA Insurance Reviewer, your day often involves reviewing submitted ABA treatment plans, assessing clinical notes for medical necessity, and communicating with both providers and insurance representatives regarding authorizations or denials. You'll typically use specialized software to manage case records and ensure compliance with insurance policies and legal requirements. Collaboration is key, as you may work closely with other clinicians, billing specialists, and case managers to coordinate care and resolve any discrepancies. The role requires a blend of clinical expertise and administrative focus, providing critical oversight to the insurance approval process and supporting the delivery of quality behavioral health services.

What are the key skills and qualifications needed to thrive in the BCBA Insurance Reviewer position, and why are they important?

To thrive as a BCBA Insurance Reviewer, you need a strong background in applied behavior analysis (ABA), a BCBA certification, and in-depth knowledge of healthcare insurance policies and documentation. Familiarity with insurance management systems, clinical documentation platforms, and medical billing codes is commonly required. Exceptional attention to detail, analytical thinking, and effective communication help reviewers navigate complex cases and collaborate with providers. These skills are crucial to ensuring accurate authorizations, timely reimbursement, and compliance with industry standards.

What are the most commonly searched types of Bcba Insurance Reviewer jobs in Ohio?

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Infographic showing various Bcba Insurance Reviewer job openings in Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 77% In-person, 15% Hybrid, and 8% Remote job distribution.

LEAD BCBA-Board Certified Behavioral Analyst

Dayton, OH

Cap City Supported Living
See more jobs at Cap City Supported Livingexternal

$80K - $120K/yr

Full-time

Medical, Life, PTO

Re-posted 25 days ago

Job description

Lead BCBA | Build the Clinical Side Your Way


Up-and-coming ABA company | Ohio | Full-timeTired of inheriting broken systems and being told “that’s just how we do it”?

We’re an up-and-coming ABA company with huge growth potential, and we’re hiring our first Lead BCBA to set up the clinical side from the ground up.

Why Work Here?
Great management, great team, great pay, room for growth, flexible scheduling.

SUMMARY:
Responsible for developing effective ABA therapy treatment plan for children, providing supervision and training to staff to oversee treatment fidelity, and collaborating with colleagues in an energetic and supportive environment and focused on quality and ethics.

RESPONSIBILITIES:

  • Provide regular training and support to direct care staff implementing treatment protocols in home, school, and community settings

  • Complete functional behavior assessments (FBAs), functional analyses (FA), and design behavior intervention plans for clients, to include follow through and support assistance for correct implementation

  • Design skill acquisition protocols inclusive of developing communication, social skills, independence, and behavior skill sets

  • Regularly review and analyze data to determine program and treatment outcomes and train and support staff on correct data collection measures

  • Provide oversight to cases, staff and family to make sure all company policies are followed and that treatment is provided according to ethical and best standards of practice

  • Provide regular training to parents and multidisciplinary professionals pertaining to applications of ABA

  • Comply with organization, state and federal regulations set forth to include professional development, safety training, confidentiality policies, and adhere to the BCBA task list

  • Work collaboratively with other therapists, providers, BCBAs, and school staff for effective programs

  • Demonstrate positive attitude and professional and ethical conduct at all times

Participate in all team meetings and company wide trainings as designated by supervisor and organization

  • Maintain good standing and certification status with the Behavior Analyst Certification Board (BACB®)

  • Performs other related duties as assigned by management

QUALIFICATIONS:

  • Hold a certification as a BCBA or BCaBA and be in good standing with the BACB®.

  • Hold a COBA license

  • Experience with designing treatment protocols, behavior intervention plans and skill acquisition programs using behavior analytic principles with individuals with developmental disabilities and autism

  • Experience collaborating with other professionals and therapist to implement practices and principles of ABA in home, community, and school settings

  • Experience with delivering direct instruction/implementation of skill & behavior protocols

  • Experience training staff, parents, and direct care workers in implementation of ABA

  • Completed the supervision and ethics requirements outlined by the BACB®

  • Maintain current CPR and First Aid requirements

SUPERVISORY RESPONSIBILITIES:

Under limited supervision and much decision-making carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

BENEFITS

  • Company Holidays

  • Flexible Scheduling

  • Work-Life Balance

  • Ongoing professional development and management training

  • Opportunities for leadership and career advancement

  • CEU Reimbursement and Conference Attendance

  • Member of a Collaborative team

Job Type: Full-time

Pay: $80,000.00 - $120,000.00 per year

Benefits:

  • Flexible schedule

  • Health insurance

  • Life insurance

  • Paid time off

Work Location : OHIO