Insurance Specialist

ABA Authorization Specialist (PA ABA IBHS Experience) (Remote)

We are adding an Authorization Specialist to our growing team! We are looking for candidates experienced in obtaining authorizations in Pennsylvania for ABA IBHS services. Experience with Maryland and Virginia are also a plus!

The Authorization Specialist is responsible for handling client authorizations and reauthorizations with insurance payors, ensuring that all required approvals are in place for services to continue uninterrupted. This position plays a critical role in supporting our clients' care journeys by preventing authorization-related delays and by collaborating with clinicians, administrative staff, and insurance representatives.

About StepOne

StepOne Neurodiversity Services is dedicated to building an innovative and creative environment that allows clinicians to do what they do best – deliver high quality, evidence-based therapies to create meaningful outcomes for clients and their caregivers. Under the direction of our clinical leadership, StepOne offers an exciting work environment for clinicians to utilize pioneering technologies while collaborating with creative professionals. We offer a compassionate and supportive work environment, competitive pay, and comprehensive benefits package.

Your Role

• Authorization Management: Obtain initial authorizations for new clients and manage reauthorizations for existing clients in a timely manner to prevent service disruptions.

• Communication with Payors: Contact insurance providers and third-party payors to secure approvals for client services, respond to requests for additional information, and resolve authorization issues.

• Documentation & Tracking: Maintain accurate records of all authorizations, reauthorizations, and communications with payors in the client management system; ensure documentation meets compliance standards.

• Client and Staff Support: Collaborate with clinical and administrative teams to communicate authorization status, resolve authorization barriers, and advise on best practices for authorization processes.

• Compliance & Process Improvement: Stay up-to-date with payor policies and guidelines to ensure compliance; identify and recommend improvements to the authorization process for greater efficiency and effectiveness.

• Office Assistance: Perform administrative reports, enter and maintain data into the electronic health record system for client and staff items, order supplies for staff and clients as needed, and other duties as assigned.

What You Bring to StepOne

Experience:

• 2+ years of experience in coordinating authorization, reauthorizations, insurance verifications, and performing similar communication with healthcare payors, within a Pennsylvania-based IBHS ABA behavioral health setting.
• Strong knowledge of Pennsylvania health insurance practices, including commercial payors and Medicaid. Maryland and Virginia a plus.

Skills:

• Strong attention to detail and organizational skills.
• Effective communication skills with an ability to explain complex information to both clients and payors.
• Proficiency in using electronic health records (EHR) and understanding billing systems.
• Ability to manage time efficiently and prioritize multiple tasks.

Comprehensive Benefits Package

• Competitive Hourly Pay and Full-time Hours Available
• Insurance Options: Health, dental, vision, pre-tax health savings account (HSA), Short-term disability, Life, Critical Illness, Accident. Employee Assistance Program for personal and professional support.
• Retirement: 401K. Strong employer match. Easy-to-use administration. Advisor support.
• Education Benefits: Tuition discounts from university partners for employees and their families.
• Paid Time Off: Up to 3 weeks of PTO (Sick, Vacation, Personal).
• Holidays: 7 Paid holidays annually.
• Bonuses: $500 - $3,000 Employee Referral Program bonuses for referring employees to us.

Work Environment

This role is remote, requires heavy computer work, and requires the ability to communicate clearly both verbally and in writing – including frequent talking, hearing, writing, typing, reading, and significant comprehension. The employee frequently is also required to sit, stand, walk, use hands, and reach with arms/hands. Regular and consistent attendance required. Ability to work well under stress and managing workload of multiple priorities needed.

StepOne Neurodiversity Services is an EOE/Veterans/Minorities/Women/Disabled/Military Friendly Employer.

ABA Authorization Specialist (PA ABA IBHS Experience) (Remote)

We are adding an Authorization Specialist to our growing team! We are looking for candidates experienced in obtaining authorizations in Pennsylvania for ABA IBHS services. Experience with Maryland and Virginia are also a plus!

The Authorization Specialist is responsible for handling client authorizations and reauthorizations with insurance payors, ensuring that all required approvals are in place for services to continue uninterrupted. This position plays a critical role in supporting our clients' care journeys by preventing authorization-related delays and by collaborating with clinicians, administrative staff, and insurance representatives.

About StepOne

StepOne Neurodiversity Services is dedicated to building an innovative and creative environment that allows clinicians to do what they do best – deliver high quality, evidence-based therapies to create meaningful outcomes for clients and their caregivers. Under the direction of our clinical leadership, StepOne offers an exciting work environment for clinicians to utilize pioneering technologies while collaborating with creative professionals. We offer a compassionate and supportive work environment, competitive pay, and comprehensive benefits package.

Your Role

• Authorization Management: Obtain initial authorizations for new clients and manage reauthorizations for existing clients in a timely manner to prevent service disruptions.

• Communication with Payors: Contact insurance providers and third-party payors to secure approvals for client services, respond to requests for additional information, and resolve authorization issues.

• Documentation & Tracking: Maintain accurate records of all authorizations, reauthorizations, and communications with payors in the client management system; ensure documentation meets compliance standards.

• Client and Staff Support: Collaborate with clinical and administrative teams to communicate authorization status, resolve authorization barriers, and advise on best practices for authorization processes.

• Compliance & Process Improvement: Stay up-to-date with payor policies and guidelines to ensure compliance; identify and recommend improvements to the authorization process for greater efficiency and effectiveness.

• Office Assistance: Perform administrative reports, enter and maintain data into the electronic health record system for client and staff items, order supplies for staff and clients as needed, and other duties as assigned.

What You Bring to StepOne

Experience:

• 2+ years of experience in coordinating authorization, reauthorizations, insurance verifications, and performing similar communication with healthcare payors, within a Pennsylvania-based IBHS ABA behavioral health setting.
• Strong knowledge of Pennsylvania health insurance practices, including commercial payors and Medicaid. Maryland and Virginia a plus.

Skills:

• Strong attention to detail and organizational skills.
• Effective communication skills with an ability to explain complex information to both clients and payors.
• Proficiency in using electronic health records (EHR) and understanding billing systems.
• Ability to manage time efficiently and prioritize multiple tasks.

Comprehensive Benefits Package

• Competitive Hourly Pay and Full-time Hours Available
• Insurance Options: Health, dental, vision, pre-tax health savings account (HSA), Short-term disability, Life, Critical Illness, Accident. Employee Assistance Program for personal and professional support.
• Retirement: 401K. Strong employer match. Easy-to-use administration. Advisor support.
• Education Benefits: Tuition discounts from university partners for employees and their families.
• Paid Time Off: Up to 3 weeks of PTO (Sick, Vacation, Personal).
• Holidays: 7 Paid holidays annually.
• Bonuses: $500 - $3,000 Employee Referral Program bonuses for referring employees to us.

Work Environment

This role is remote, requires heavy computer work, and requires the ability to communicate clearly both verbally and in writing – including frequent talking, hearing, writing, typing, reading, and significant comprehension. The employee frequently is also required to sit, stand, walk, use hands, and reach with arms/hands. Regular and consistent attendance required. Ability to work well under stress and managing workload of multiple priorities needed.

StepOne Neurodiversity Services is an EOE/Veterans/Minorities/Women/Disabled/Military Friendly Employer.