ABA Authorization Specialist

Silna Health (silnahealth.com) is a health technology company that handles eligibility & benefit checks and prior authorizations for specialty healthcare providers. Our mission is to streamline how providers financially clear patients for care, so providers can spend more time delivering exceptional care. We are based in New York City and work with customers across the country.Silna Health is looking for an enterprising prior authorization and eligibility expert to work closely with our customers - ABA (Autism) healthcare providers - and complete prior authorizations and related 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 prior authorization process.ResponsibilitiesWork closely with ABA providers and their billing team to collect accurate patient information and communicate authorization decisionsWork 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 timeline manner by following up with insurers and providing additional informationBe responsible for handling multiple prior authorizations simultaneously and create process to ensure top of the line performanceUnderstand ABA-specific workflows, including creating treatment plans, re-authorizationBecome a subject matter expert in ABA prior authorization workflows for large insurersWork closely with Silna Product/Engineering teams to share learnings about the prior authorization process to help automate parts of itCommunicate effectively across multiple stakeholdersBe willing to work 40 hours per week​​QualificationsThe ideal candidate will have a strong understanding of insurance policies and ABA billing processes3+ years of experience completing prior authorizations for ABA services specifically (not medications), with 2+ years of experience in ABA/Autism doing prior authorizations. Strong understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusionsHave familiarity with payor portals and experience calling payorsHave a strong work ethic: operate with urgency, work independently, be highly organized, detailed oriented and multi-task effectivelyNice to have: Be familiar with providers software, including Electronic Medical Record Systems (EMR/EHR) like CentralReach and RethinkBenefitsAn highly competitive hourly rateChance to move from contractor to a well compensated full time position, which includes benefits and equity in the companyRemote roleBest of all, a chance to make an impact on patients ability to access carePlease note that you would be hired as a 1099 contractor.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: ContractExperience:Prior Authorization (services, not medication): 2 years (Required)Insurance verification: 1 year (Required)ABA/Autism prior authorization: 2 years (Required)Work Location: Remote

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