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Manager Bcba Insurance Reviewer Jobs (NOW HIRING)

The US Oncology Network

Insurance Reviewer

Eugene, OR · On-site

$22 - $32/hr

Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... An individual that thrives in a high-volume workspace, with the ability to manage shifting ...

The US Oncology Network

Insurance Reviewer

Eugene, OR · On-site

$22 - $32/hr

Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... An individual that thrives in a high-volume workspace, with the ability to manage shifting ...

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues. Job ...

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues. Job ...

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$29.5K

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How much do manager bcba insurance reviewer jobs pay per year?

As of Jul 26, 2026, the average yearly pay for manager bcba insurance reviewer in the United States is $55,642.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $63,500.00 per year, depending on experience, location, and employer.

What are the primary challenges faced by a Manager BCBA Insurance Reviewer when coordinating between clinical teams and insurance providers?

One of the main challenges for a Manager BCBA Insurance Reviewer is balancing the clinical needs of clients with the documentation and compliance requirements set by insurance companies. This role frequently involves ensuring that treatment plans and progress notes align with insurer guidelines while still supporting effective, individualized care. Additionally, the position requires strong communication skills to clarify clinical recommendations to insurance representatives and advocate for necessary services. Navigating policy updates, managing denials or appeals, and training clinical staff on best documentation practices are also key aspects of this role.

What is the difference between Manager Bcba Insurance Reviewer vs Bcba Insurance Reviewer?

AspectManager Bcba Insurance ReviewerBcba Insurance Reviewer
CertificationsBCBA certification, management experienceBCBA certification
Work EnvironmentSupervisory role, team managementReviewing insurance claims, case assessments
Employer & IndustryHealthcare, insurance companies, behavioral healthInsurance companies, healthcare providers
Search & ComparisonOften compared for career progressionFocuses on case review and approval

The main difference is that the Manager Bcba Insurance Reviewer oversees a team and manages review processes, while the Bcba Insurance Reviewer primarily focuses on evaluating insurance claims and cases. The managerial role involves leadership responsibilities, whereas the non-managerial role emphasizes case assessment within the insurance industry.

What does a Manager BCBA Insurance Reviewer do?

A Manager BCBA Insurance Reviewer oversees the review and approval process for insurance claims related to Applied Behavior Analysis (ABA) therapy services. They ensure that treatment plans created by Board Certified Behavior Analysts (BCBAs) meet insurance requirements and support medical necessity. Additionally, they coordinate with clinicians, insurance companies, and clients to facilitate smooth authorization and reimbursement processes. This role often involves supervising a team, providing guidance on clinical documentation, and staying updated on changing insurance policies.

What are the key skills and qualifications needed to thrive as a Manager BCBA Insurance Reviewer, and why are they important?

To thrive as a Manager BCBA Insurance Reviewer, you need a Board Certified Behavior Analyst (BCBA) certification, experience in applied behavior analysis, and a thorough understanding of insurance authorization and claims processes. Familiarity with electronic health records (EHR) systems, insurance billing platforms, and compliance documentation is typically required. Exceptional organizational skills, attention to detail, and the ability to communicate effectively with both clinical teams and insurance representatives are crucial soft skills. These skills ensure accurate claims processing, compliance with insurance requirements, and optimal support for clients receiving behavioral health services.
What cities are hiring for Manager Bcba Insurance Reviewer jobs? Cities with the most Manager Bcba Insurance Reviewer job openings:
What are the most commonly searched types of Bcba Insurance Reviewer jobs? The most popular types of Bcba Insurance Reviewer jobs are:
What states have the most Manager Bcba Insurance Reviewer jobs? States with the most job openings for Manager Bcba Insurance Reviewer jobs include:
Manager Bcba Insurance Reviewer jobs near you
Insurance Reviewer

Insurance Reviewer

The US Oncology Network

Eugene, OR • On-site

$22 - $32/hr

Full-time

Life, Retirement

Posted 21 days ago

US Oncology rating

7.4

Company rating: 7.4 out of 10

Based on 107 frontline employees who took The Breakroom Quiz

263rd of 890 rated healthcare providers

Job description

Overview
Insurance Reviewer - Clinical
Willamette Valley Cancer Institute is looking for an Insurance Reviewer to support our patients receiving testing and treatment needed for their diagnosis by navigating insurance portals and obtaining all appropriate authorizations. With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and surgeries our Insurance Reviewers pave the way for our patients and treatment team to follow the prescribed treatment pathway. An individual that thrives in a high-volume workspace, with the ability to manage shifting priorities will find success in this role.
The general pay scale for this position at WVCI is $22.00-$32.00. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity, etc.
Employment Type: Full Time
Benefits: M/D/V, Life Ins., 401(k)
Location: Eugene, OR
Responsibilities
  • Reviews, processes and audits the medical necessity for treatments including radiation oncology, gynecologic surgery, genetic lab testing, imaging, and chemotherapy treatment for each patient. Documentation of regimen related to pathway adherence and payer guidelines.
  • Communicate with nursing, physician, pharmacists and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs.
  • Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis
  • Obtains insurance authorization and pre-certification for various oncology & hematology related services.
  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.
  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records.
  • Other duties as requested or assigned.

Qualifications
  • High school degree or equivalent.
  • Minimum three (3) years of prior authorization experience required. Revenue cycle experience preferred.

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIORNMENT:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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