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From Home Authorization Utilization Review Bcba Jobs

Tuba City Regional

Utilization Review

Tuba City, AZ · On-site

... from the facility address. This shift is 5x8 Days. Required: 2 years of recent experience in ... Utilization Review. Please inquire for specific job details and confirm shift required by facility.

Acrisure LLC

Utilization Review Nurse

Bradenton, FL · On-site

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and ... authorized at the nurse level, and refers requests for physician review when additional clinical ...

Acrisure

Utilization Review Nurse

Bradenton, FL

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and ... authorized at the nurse level, and refers requests for physician review when additional clinical ...

US Tech Solutions

Utilization Review Nurse

Canton, MA · On-site

$55 - $60/hr

Communicate authorization decisions with physicians, provider offices, hospitals, and healthcare ... Utilization Management (UM) * Medical Necessity Review * Prior Authorization * Precertification

Acrisure

Utilization Review Nurse

Bradenton, FL · On-site

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and ... authorized at the nurse level, and refers requests for physician review when additional clinical ...

PARKSIDE INC

Utilization Review Specialist

Tulsa, OK · On-site

... from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide ... Responsibilities: • Prepares authorization paperwork, processes requests for authorizations, and ...

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From Home Authorization Utilization Review Bcba information

What is a from home Authorization Utilization Review BCBA?

A 'From Home Authorization Utilization Review BCBA' is a Board Certified Behavior Analyst (BCBA) who works remotely to review and authorize treatment plans for clients, typically in the field of applied behavior analysis (ABA). Their primary responsibility is to evaluate submitted treatment requests, ensure they meet clinical guidelines and insurance requirements, and approve or deny them accordingly. This role combines clinical expertise with administrative tasks and is essential for maintaining quality and compliance in ABA therapy services. Working from home allows BCBAs to perform these duties flexibly, using secure online systems to review documentation and communicate with providers.

What are the key skills and qualifications needed to thrive as a from home Authorization Utilization Review BCBA?

To thrive as a From Home Authorization Utilization Review BCBA, you need certification as a Board Certified Behavior Analyst (BCBA), a strong background in applied behavior analysis, and experience with clinical review processes. Familiarity with electronic health records (EHR), utilization management software, and insurance authorization systems is typically required. Strong analytical thinking, attention to detail, and effective communication are essential soft skills for collaborating remotely and ensuring accurate case evaluations. These skills enable efficient and evidence-based review of treatment requests, ensuring appropriate care and compliance with payer guidelines.

What are some common challenges faced by a from home Authorization Utilization Review BCBA, and how can they be managed?

A remote Authorization Utilization Review BCBA often encounters challenges such as limited direct client interaction, reliance on thorough documentation, and navigating varying payer requirements. Staying organized and maintaining clear, detailed case notes are crucial for accurate reviews and justifying treatment authorizations. Regular communication with clinical teams and payers, as well as utilizing secure telehealth and documentation platforms, can help manage these challenges. Being proactive about ongoing training in payer guidelines also ensures compliance and efficiency in the role.

What is the difference between From Home Authorization Utilization Review Bcba vs From Home Authorization Utilization Review Bcba?

AspectFrom Home Authorization Utilization Review Bcba

Since the comparison is with the same job title, there is no difference between From Home Authorization Utilization Review Bcba and itself. Typically, variations may exist based on employer or specific job duties, but the core credentials, work environment, and industry usage remain consistent for this role.

Can a From Home Authorization Utilization Review BCBA work remotely?

Yes, a From Home Authorization Utilization Review BCBA can work remotely, as many roles in behavioral health and utilization review are performed virtually. This position typically requires strong communication skills, certification, and familiarity with telehealth tools and electronic health records, allowing for flexible work environments.

Is utilization review work from home?

Utilization review roles, including those for BCBA professionals, are increasingly offered as remote positions, especially with the use of telehealth and digital documentation tools. Many employers allow work-from-home arrangements, but specific policies depend on the company and job requirements, such as certification and experience in behavioral health. Candidates should verify remote options during the application process or interview stage.

What cities are hiring for From Home Authorization Utilization Review Bcba jobs?

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From Home Authorization Utilization Review Bcba jobs near you

Utilization Review Technician

Prime Healthcare

Gadsden, AL

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 285 frontline employees who took The Breakroom Quiz

605th of 889 rated healthcare providers

Job description

Department: Social Work Services 

Shifts Available: Days  

Employment Type: Full Time 

Hours: 8-hour shift – 7:30am to 3:30pm 

Location: Riverview Regional Medical Center – Gadsden, AL 

We are seeking an Utilization Review Technician II, sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator II. The Utilization Review Technician II supports the utilization review, appeals, and denial management process by coordinating communication and tracking payer-related activity. This role works closely with insurance providers, health plans, Utilization Review teams, the Business Office, and Case Managers to help ensure timely follow-up on authorizations, reviews, appeals, and denials. The position also assists with payer audits, Release of Information, discharge coordination, and other departmental needs. 


  • Coordinate phone calls, data entry, and tracking related to authorizations, expedited reviews, appeals, and denials 
  • Document and track all communication attempts with insurance providers and health plans 
  • Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams 
  • Maintain accurate tracking of government and payer audits, including RAC, MAC, CERT, ADR, QIO, Medicaid, and pre/post-payment reviews 
  • Provide support with Release of Information, discharge coordination, and other assigned departmental duties 

  • High School Diploma or equivalent
  • Two years of relevant experience
  • Accurate alphabetic, numeric, and/or terminal-digit filing skills
  • Computer data entry with 10-key, with accurate typing speed of 35 wpm
  • Associates Degree or higher, preferred
  • Excel skills. highly preferred
  • Knowledge of terminal digit filing and medical terminology, preferred
  • Knowledge of State and Federal regulatory requirements for medical staff documentation, preferred
  • Completion of a medical terminology course, preferred
  • Background in business and office training, preferred

Here are some of the benefits of working at Prime Healthcare: 

  • Health, dental, and vision insurance options 
  • Paid vacation, sick time and holidays 
  • Bereavement leave, FMLA and other leave options 
  • Employer 401K options 
  • Tuition reimbursement options  
  • Life, disability, and other insurance options 
  • Many other amazing benefits 

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/   

#LI-MP1


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

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