Job Description

Job Location: Remote - Roswell, GA 30076
Position Type: Contractor
Job Category: Admin - Clerical
Job Location: Hybrid
About Us:
Academy ABA is a leading provider in Applied Behavior Analysis (ABA) therapy, dedicated
to improving the lives of children with autism spectrum disorders and other developmental
conditions. Our team of highly skilled professionals works tirelessly to create personalized
treatment plans that foster growth, learning, and meaningful progress. We are committed
to delivering the highest quality care and support to our clients and their families.

Position Summary:
The Prior Authorization Coordinator plays a crucial role in ensuring our clients receive
timely access to ABA therapy services. You will be responsible for managing all aspects of
the prior authorization process, from initial submission to approval, for insurance coverage
of ABA therapy sessions. Your meticulous attention to detail and ability to navigate
complex insurance policies will contribute significantly to the seamless delivery of
services to our clients.
Responsibilities:
• Coordinate and submit prior authorization request for ABA therapy services to
various insurance companies
• Track the status of submitted authorizations, conducting follow-ups as necessary
to ensure timely approval.
• Communicate effectively with insurance representatives to resolve any issues or
discrepancies during the authorization process.
• Collaborate with Center Managers and Clinical Staff to gather required
documentation and information for prior authorization submissions.
• Maintain up-to-date records of all authorization activities in the company’s
database, ensuring accuracy and confidentiality.
• Educate and assist families in understanding their insurance benefits and the
authorization process.
• Stay informed about changes in insurance policies and regulations that may affect
client coverage.
• Participate in team meetings and provide updates on authorization statuses and
challenges.

Qualifications• High school diploma or equivalent; associate or bachelor’s degree in a related field
is preferred.
• Previous experience in prior authorization, healthcare administration, or a related
field. ABA experience is preferred.
• Knowledge of healthcare insurance, including understanding of medical coding and
billing practices.
• Strong organizational and administrative skills, with the ability to manage multiple
tasks efficiently.
• Excellent communication skills, both written and verbal, with an emphasis on clear
and empathetic communication with families and insurance representatives.
• Proficiency in Microsoft Office and experience with electronic health records (EHR)
systems. Central Reach experience is a plus.
• A commitment to supporting individuals with developmental disabilities and their
families.