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About the Role
Lighthouse ABA provides high-quality, individualized Applied Behavior Analysis (ABA) services to children and families. The Insurance Coordinator is central to this effort, ensuring clients have continuous insurance coverage and valid authorizations for ABA services by verifying benefits, securing initial authorizations, and managing re-authorization deadlines.
Responsibilities
- Confirm that referrals, diagnoses, and required documentation meet each payer's criteria for ABA services.
- Confirm new coverage whenever a client's coverage changes.
- Prepare and submit initial authorization requests for ABA assessments and treatment, ensuring each packet is complete and payer-compliant.
- Track every active authorization — units approved, units used, and expiration dates — and initiate re-authorizations well ahead of deadlines to prevent any lapse in services.
- Coordinate with BCBAs and the clinical team to gather assessments, treatment plans, progress reports, and supporting documentation required for authorization and continued-care requests.
- Monitor authorization status through submission, follow-up, and approval, escalating delays and resolving payer requests for additional information.
- Serve as the primary point of contact with our insurance team.
- Keep clinical, intake, and billing teams informed of authorization status, upcoming expirations, and any coverage issues that could affect a client's schedule.
- Communicate coverage and authorization details clearly to families when needed, in plain, supportive language.
- Maintain accurate, up-to-date authorization records in our systems (client management platform and payer portals), ensuring dates, units, and documentation are always current.
- Track key dates and maintain a reliable tickler/reminder system so re-authorizations are never missed.
- Handle all client and health information in accordance with HIPAA and organizational privacy standards.
Requirements
- 1+ years of experience in insurance verification, prior authorizations, or a related healthcare administrative role.
- Working knowledge of insurance concepts — eligibility, benefits, authorizations, medical necessity, and payer requirements.
- Strong organizational skills and exceptional attention to detail, with a proven ability to manage many deadlines at once without letting anything slip.
- Clear, professional written and verbal communication.
- Comfort working in insurance portals, EHR/practice-management systems, and standard office software (spreadsheets, email).
- Persistence and comfort with payer follow-up — including phone calls and appeals of incomplete or delayed requests.
- A discreet, professional approach to confidential health information (HIPAA).
Skills
- ABA authorizations
- Continued-care/re-authorization workflows
- Medicaid and commercial payer requirements
- Coordinating with BCBAs or clinical teams
- Highly organized
- Deadline-driven
- Detail-oriented
- Accurate
- Proactive
- Self-directed
- Collaborative
- Responsive
- Calm under pressure
- Professional under pressure
Work Type
- Full-time
Experience Level
- 1+ years of experience
Salary/Compensations
- $25-30/hr
About the Company
- Lighthouse ABA provides Applied Behavior Analysis (ABA) services to children and families, delivering high-quality, individualized care across our service areas.