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Manager Bcba Insurance Reviewer Jobs in Kansas (NOW HIRING)

Caravel Autism Health

BCBA

Shawnee, KS · On-site

$79K - $95K/yr

... completing insurance reviews, and completing forms to ensure appropriate funding for client ... staff management. Requirements * Must be Board Certified Behavior Analyst or a state-licensed ...

Caravel Autism Health

BCBA

Shawnee, KS · On-site

$70K - $86K/yr

... completing insurance reviews, and completing forms to ensure appropriate funding for client ... staff management. Requirements * Must be Board Certified Behavior Analyst or a state-licensed ...

Caravel Autism Health

Lead BCBA

Olathe, KS · On-site

$93K - $121K/yr

... completing insurance reviews, and completing forms to ensure appropriate funding for client ... staff management. Requirements * Must be Board Certified Behavior Analyst or a state-licensed ...

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Manager Bcba Insurance Reviewer information

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

The most popular types of Bcba Insurance Reviewer jobs in Kansas are:

What cities in Kansas are hiring for Manager Bcba Insurance Reviewer jobs?

Cities in Kansas with the most Manager Bcba Insurance Reviewer job openings:

Manager Bcba Insurance Reviewer jobs near you
Infographic showing various Manager Bcba Insurance Reviewer job openings in Kansas as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 93% In-person, and 7% Hybrid job distribution.

Insurance Reviewer-Clinical

The US Oncology Network

Wichita, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

381st of 887 rated healthcare providers

Job description

Overview
The Cancer Center of Kansas (CCK) is seeking a full-time, on-site Insurance Reviewer to join our team in our Wichita, KS offices. The typical work week is Monday through Friday, 8:30 AM - 5:00 PM with no major holidays, no on-call and no weekends.
As part of The US Oncology Network and with over 40 years being established in Kansas, CCK delivers quality, personalized cancer care to communities across the state. Our physicians and staff treat patients in over 18 locations throughout the state. Our management and physician teams continue to be recognized in our communities for Excellence in Healthcare! With our mission in mind, we value each and every employee for their life-saving expertise and the role they play in making our patients' lives as easy and comfortable as possible. Our employees are our most valuable resource. They help us create and continue to deliver on our mission.
In CCK's partnership with the US Oncology Network, one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America and supported by McKesson Corporation, we are able to extend an extremely competitive offering of benefits to employees, including:
  • Medical Health Care

  • Dental Care

  • Vision Plan

  • 401-K with a matching component

  • Life Insurance

  • Short-term and Long-term disability

  • FSA and HSA

  • Legal Insurance

  • Competitive Paid Time Off Plan

  • Wellness & Perks Programs

What does this position entail?
This role, under general supervision, reviews chemotherapy regimens and orders in accordance to reimbursement guidelines and standard of care adherence. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities of this position are:
  • Obtains prior authorization for scans, labs, subsequent chemotherapy visits or any other service as required.

  • Maintains a professional working relationship with co-workers, insurance companies and referring doctor offices.

  • Assists in receiving and reviewing orders from CCK providers to analyze if necessary to, and then when necessary, obtain prior-authorization.

  • Receives and reviews clinical documents within the electronic medical record ("EMR") in order to meet requirements for obtaining the authorization.

  • Services responsible for obtaining prior authorizations for may include radiology, laboratory, chemotherapy and injections.

  • Contacts referring physicians and facilities to obtain referrals for all services scheduled at CCK.

  • Provides clinical information to insurance companies and case managers as needed.

  • Coordinates peer to peer calls between physicians and insurance companies.

  • Assists in maintaining up to date information on insurance requirements for all authorization needs per payer.

  • Uploads and attaches authorizations and referrals to the practice management system ("PMS") and EMR as needed.

  • Contacts insurance companies through effectively navigating company websites, managed care portals and through methods such as phone and fax in order to complete prior authorization information requests for ordered services.

  • Timely and accurate entry of information in the PMS and EMR.

  • Follows the status of authorizations and referrals to ensure timely receipt.

  • Ability to multi-task and communicate through various mediums.

  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.

  • Remains current on all compliance requirements and in part, demonstrates knowledge of Adheres to confidentiality, state, federal, and HIPPA (Health Insurance Portability and Accountability Act) laws and guidelines with regards to patient's records and information.

  • Attends required, applicable meetings.

  • Remains current on all compliance requirements.

  • Ensures all applicable policies and procedures of the company and Network are followed.

  • Other duties as requested or assigned including coverage within the department.

  • Performs other tasks as reasonably requested by a provider or member of the Management Team, as applicable to the role.

Supervisory Responsibilities:
  • None.

Qualifications
The ideal candidate for the position will have the following qualifications:
Minimum Qualifications:
  • High school degree or equivalent.

  • Associates degree in Healthcare or Business-related preferred.

  • Minimum three (3) years medical insurance verification and authorization required.

Competencies:
  • Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate.

  • Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.

  • Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.

  • Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.

  • Demonstrates Team-Oriented Characteristics: Fosters a positive and productive team environment by working effectively with others and offering help when able.

  • Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

Physical Demands of the Job:
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 Environment:
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.

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