ABA Authorization Specialist (Remote position)

Little Leaves•Silver Springs, NY

19h•Remote

About The Position

Little Leaves provides full insurance support to families who seek our services. The ABA Authorization Specialist is responsible for managing the end-to-end authorization process to ensure all services are approved, compliant, and aligned with payer requirements prior to billing. This role is critical to maintaining continuous service delivery and revenue integrity by preventing delays, denials, and lapses in authorization coverage across MD, VA, and FL markets.

Requirements

2+ years of experience in ABA authorizations, utilization management, or insurance verification
Strong knowledge of ABA CPT codes (97151, 97153, 97155, 97156)
Experience working with commercial payers (UHC/Optum, Aetna, Cigna, BCBS, Kaiser, etc.)
Understanding of authorization requirements and documentation standards for ABA services
Experience coordinating with clinical teams for treatment plan submissions
Strong organizational skills with ability to manage multiple deadlines
High attention to detail and ability to identify discrepancies
Experience with practice management systems (Central Reach, Motivity preferred)
Proficiency in Excel and tracking tools
Ability to work in a fast-paced, high-volume environment
Strong communication and problem-solving skills
Ability to maintain confidentiality and comply with HIPAA regulations

Nice To Haves

Familiarity with state-specific authorization requirements in MD, VA, and FL preferred

Responsibilities

Manage submission of initial, concurrent, and renewal authorizations for ABA services
Review treatment plans to ensure alignment with payer requirements and requested units
Track and monitor all authorizations using a centralized tracking system
Proactively follow up with payers to ensure timely approval and avoid service disruptions
Communicate with clinical teams to obtain required documentation (treatment plans, assessments, progress notes)
Ensure all authorizations are in place prior to service delivery and billing
Identify and resolve authorization discrepancies, including incorrect units, dates, or service codes
Maintain accurate documentation of all authorization activity in internal systems (e.g., Central Reach / Motivity)
Monitor authorization utilization and flag overutilization or underutilization risks
Communicate authorization updates and changes to billing, scheduling, and clinical teams
Review payer policies specific to MD, VA, and FL to ensure compliance
Assist with appeals and reconsiderations for denied or reduced authorizations
Perform audits to ensure alignment between authorizations, schedules, and billed services
Performs other duties as assigned