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Remote Authorization Utilization Review Bcba Jobs in Rochester, NY

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY · Remote

$60 - $65/hr

While this is a remote position, candidates must reside in or be willing to relocate to one of the ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

Deloitte

Epic Denials Management Operator

Rochester, NY · Remote

$17.75 - $23.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Cybercoders

Tax

Canandaigua, NY · On-site +1

$80K - $110K/yr

Hybrid Remote Schedule outside of Rochester,NY + 5 other NY locations Salary: $85k-110k + OT Pay ... Exp. Reviewing a mix of entities (1040s, 1041s, 1065, 1120S, 1120, 990s) Preferred: * Strong ...

Valera Health

Mental Health Therapist

Rochester, NY · On-site +1

... prior authorizations. This means you can practice at the top of your license alongside ... Telehealth or remote experience * Self-motivated with strong independent work skills and ...

All JobsAuthorization Utilization Review Bcba JobsRemote Authorization Utilization Review Bcba JobsRemote Authorization Utilization Review Bcba Jobs in Rochester, NY

Remote Authorization Utilization Review Bcba information

Can you work remotely as a remote authorization utilization review BCBA?

A remote authorization utilization review BCBA can typically perform their duties remotely, as the role involves reviewing clinical documentation and authorization requests, which can be done online. Successful remote work often requires strong communication skills, familiarity with electronic health records, and relevant certifications such as the BCBA credential. However, specific employer policies and state licensing requirements may influence the ability to work remotely in this role.

Is utilization review work from home?

Remote Authorization Utilization Review BCBA positions typically allow for work from home, especially when conducting chart reviews, documentation, and telehealth assessments. However, some roles may require occasional in-office visits or supervision, depending on employer policies and state regulations.

What are the key skills and qualifications needed to thrive as a remote authorization utilization review BCBA?

To thrive as a Remote Authorization Utilization Review BCBA, you need board certification as a Behavior Analyst (BCBA), deep knowledge of ABA therapy, and experience with clinical documentation and insurance authorization processes. Familiarity with electronic health record (EHR) systems, payer portals, and healthcare compliance tools is typically required. Strong analytical skills, attention to detail, and effective written communication are essential soft skills for success in this remote role. These competencies ensure accurate authorization reviews, compliance with regulations, and efficient support for patients and providers across virtual settings.

How does a remote authorization utilization review BCBA typically collaborate with healthcare providers and insurers during the review process?

A Remote Authorization Utilization Review BCBA frequently communicates with both healthcare providers and insurance representatives to assess and justify the necessity of ABA services for clients. This involves reviewing clinical documentation, clarifying treatment plans, and sometimes participating in peer-to-peer discussions to support authorization requests. Strong written and verbal communication skills are essential, as much of the collaboration is done via phone, email, or secure portals. Building positive relationships and ensuring clear, evidence-based recommendations can help streamline approvals and improve outcomes for clients.

What is a remote authorization utilization review BCBA?

A Remote Authorization Utilization Review BCBA is a Board Certified Behavior Analyst who works remotely to review and approve treatment plans for clients, typically in the context of Applied Behavior Analysis (ABA) therapy. Their main responsibility is to assess clinical documentation and ensure that the recommended services meet medical necessity criteria and payer guidelines. This role often involves collaborating with clinicians, insurance companies, and families to facilitate the authorization process for behavioral health services. Working remotely allows BCBAs in this position to provide their expertise from any location, using digital tools to conduct reviews and communicate with stakeholders.
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Remote Authorization Utilization Review Bcba jobs near you
Infographic showing various Remote Authorization Utilization Review Bcba job openings in Rochester, NY as of August 2026, with employment types broken down into 69% Full Time, 23% Part Time, and 8% Contract. Highlights an 100% Remote job distribution.

Health Insurance & Authorization Specialist II

Highland Hospital

Rochester, NY • On-site, Remote

$20.99 - $28.34/hr

Other

Re-posted 18 days ago

Highland Hospital (New York) rating

7.7

Company rating: 7.7 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

222nd of 1,055 rated hospitals

Job description

he Health Insurance and Authorization Specialist is responsible for verifying patient insurance eligibility and coverage and securing third-party payer authorization for our urgent/emergent inpatients, observation cases, maternity, and newborn admissions and notifies Utilization Management of clinical requests during the hospital stay.  The Specialist also works closely with the uninsured/underinsured for appropriate referrals to our Financial Case Management team to assess patients for health insurance or financial assistance.  They track our Medicare patients for benefit exhaustion to ensure compliance with Medicare Life Time Reserve (LTR) consent forms and consistently exercise judgment to resolve insurance barriers on the assigned admissions to avoid billing delays.  This role involves a more significant amount of external coordination with outside agencies, including MVA/WC carriers, Motor Vehicle Accident Indemnification Corporation (MVAIC) agency, attorney offices, and works with parents to add their newborn through the NYS Marketplace or employer group.
Supervision:              Responsible for monitoring own performance on assigned tasks.  Self-directed and must make complex decisions independently.  May train other support staff.
                                   
                                    This role may have the option to work a hybrid-remote schedule and communicate daily through virtual meetings.
Salary Range:
$20.99-  $28.34 an hour
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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