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Manager Bcba Insurance Reviewer Jobs in Nebraska

Golden Steps ABA

BCBA Area Director

Omaha, NE

Mentor and manage a team of Supervising Clinicians. * Lead a team of Supervising Clinicians to ... Review initial and six-month assessments conducted by your direct report BCBAs to guarantee ...

Golden Steps ABA

BCBA Area Director

Omaha, NE · On-site

Mentor and manage a team of Supervising Clinicians. * Lead a team of Supervising Clinicians to ... Review initial and six-month assessments conducted by your direct report BCBAs to guarantee ...

Golden Steps ABA

BCBA Area Director

Omaha, NE · On-site

Mentor and manage a team of Supervising Clinicians. * Lead a team of Supervising Clinicians to ... Review initial and six-month assessments conducted by your direct report BCBAs to guarantee ...

Golden Steps ABA

BCBA Area Director

Omaha, NE

Mentor and manage a team of Supervising Clinicians. * Lead a team of Supervising Clinicians to ... Review initial and six-month assessments conducted by your direct report BCBAs to guarantee ...

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Manager Bcba Insurance Reviewer information

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

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

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

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

Manager Bcba Insurance Reviewer jobs near you

Board Certified Behavior Analyst (BCBA)

Behaven Kids

Lincoln, NE • On-site

$80K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Behaven Kids rating

7.0

Company rating: 7.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Hiring Bonus for Full Time Employees
Overview:
The Board Certified Behavior Analyst (BCBA) provides neurodiversity affirming behavior analytical services including assessment, development of acquisition and behavior-reduction programs and plans, supervision to RBTs, and development and provision of parent guidance. The BCBA fulfills an on-site, clinic-based position and contributes to a safe and effective therapeutic environment for children, their families, and staff according to the philosophy and mission of Behaven Kids.
Compensation:
  • Competitive Annual Salary
  • Signing/relocation bonus
  • Performance-based pay incentives
  • Paid time off and holidays
  • Health, dental, vision, disability, and life insurance
  • EAP
  • 401(k) and matching
  • Financial support for professional development and certification maintenance

What We Offer:
  • Reasonable expectations for billable hours (25/week)
  • Appropriate staffing of RBTs
  • Flexibility in scheduling to promote work/life balance
  • Respectful environment that values each individual's contributions and expertise
  • Leadership present and committed to supporting ethical, high-level, collaborative, and meaningful clinical work
  • Opportunities for leadership and professional development activities as desired
  • No-cost BACB CEUs and stipend for conference attendance, continuing education, etc.
  • Diverse and inclusive work environment with ongoing commitment of leadership to engage in and support DEI initiatives

Responsibilities:
  • Conducting Functional Behavior Assessments and determining justified service recommendations
  • Consulting with payors as-needed regarding authorization requests
  • Developing assessment-informed programs and support plans
  • Ongoing evaluation of intervention affects to facilitate data-informed modifications
  • Conducting staff and parent training
  • Efficiency in and appropriate use of proprietary data collection and record management systems
  • Participation in agency-wide program evaluation efforts
  • Consulting with educational and other treatment settings as needed
  • Engaging with Behaven Kids and other related entities with professionalism and a person-centered approach

Qualifications:
  • BCBA in good standing with the BACB
  • Minimum of 2 years BCBA experience (preferred)
  • Excellent verbal and written communication skills
  • Ability to work in active environment and lift up to 50 lbs

Location:
  • Lincoln, NE

Employment type:
  • Full-time, salary

Behaven Kids:
Behaven Kids is the most unique and recognized mental health program in Nebraska, with over 20 years of experience in changing the lives of the children and families we serve. ABA services are complemented with outpatient therapy services and a specialized day care program, designed to provide the best services a family needs to maximize each child's potential for individual success. We achieve all these thanks to our passionate and committed team, that deliver high-quality services to children and families within a diverse and inclusive environment.
Behaven Kids is growing! Our great work culture promotes a team of dedicated, innovative, and spirited individuals who are also looking to build a career.
BehavenKids.com
Please Note:
All salaries are commensurate with experience and include an attractive benefits package. Behaven Kids is committed to diversity, equity, and inclusion in its workforce. We encourage candidates that will help us live out this commitment to apply.
BK is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, genetic information, age, or military or veteran status in accordance with federal law. In addition, BK complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintains facilities. BK also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.
This job posting provides a general list of the essential responsibilities and qualifications required for this position. It does not represent a contract for employment and BK reserves the right to change the description and/or posting at any time without notice.
When applying, please DO NOT include any of the following information with your job application: Social Security number; driver's license number or state-issued identification card number; financial account number, or credit or debit card number.
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Department ABA Role Board Certified Behavior Analyst (BCBA) Locations Lincoln East, Lincoln High Yearly salary $80,000 - $95,000 Employment type Full-time

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