ABA Authorization Specialist

Silna Health

New York, New York, United States

New York, New York, United States

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Über

Silna Health Prior Authorization And Benefits Verifications Expert Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into decisions made in minutes, before care is ever delivered. We work across behavioral health, physical health, ambulatory care, and post-acute care, where administrative failure doesn't just cost money; it can delay or deny patient access entirely. We're backed by Accel and Bain Capital Ventures, and we're building fast. About the Role Silna is looking for an enterprising prior authorization and benefits verifications expert to work closely with our customers - ABA (Autism), Mental Health, IOP, and Psych Testing providers - and complete these administrative tasks on their behalf. This is a unique role, as you will also be working closely with the Silna Product team to automate parts of the verification and authorization processes. Responsibilities
Work closely with ABA / behavioral health providers and their billing teams to collect accurate patient information and communicate authorization decisions Work with insurers to verify patient eligibility and benefits, and expediently complete prior authorizations using insurance portals or calling insurers directly. Ensure authorization is approved in a timely manner by following up with insurers and providing additional information Be responsible for handling multiple prior authorizations simultaneously and create process to ensure top of the line performance Understand ABA- and other behavioral health-specific workflows, including creating treatment plans, re-authorization Become a subject matter expert in behavioral health prior authorization workflows for large insurers Work closely with Silna Product/Engineering teams to share learnings about the prior authorization process to help automate parts of it Communicate effectively across multiple stakeholders Be willing to work 40 hours per week
Qualifications
The ideal candidate will have a strong understanding of insurance policies and ABA billing processes 2+ years of experience completing prior authorizations for ABA (preferred) or other behavioral health services. Strong understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusions Have familiarity with payor portals and experience calling payors Have a strong work ethic: operate with urgency, work independently, be highly organized, detailed oriented and multi-task effectively Nice to have: Be familiar with providers software, including Electronic Medical Record Systems (EMR/EHR) like CentralReach and Rethink
Benefits
An highly competitive hourly rate Chance to move from contractor to a well compensated full time position, which includes benefits and equity in the company Remote role Best of all, a chance to make an impact on patients ability to access care
To apply, please attach a resume and any other relevant details about your background. Please do not apply if you don't have the criteria required. Job Type: Full-Time Experience:
Prior Authorization (services, not medication): 2 years (Required) ABA/Autism or other Behavioral Health prior authorization: 2 years (Required) Insurance verification: 2 year (Required)
Work Location: Remote

New York, New York, United States

Sprachkenntnisse

English

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