Authorization / Utilization Coordinator

Owns every authorization from first submission to renewal, so no session ever runs without coverage.

100% remoteNo contract, cancel anytime

What this role does in an ABA practice

  • Submits initial assessment (97151) and treatment authorizations with the BCBA’s treatment plan
  • Tracks approved units, date spans and caps for every client
  • Starts re-authorizations early, gathers progress reports and follows up with payers
  • Flags over-scheduling against authorizations to the scheduler and clinical director
  • Handles peer-to-peer requests and single-case agreement paperwork

What we screen for

  • Authorization-tracker scenario: spot the client about to exceed units
  • Payer-portal fluency and documented follow-up with reference numbers and dates
  • Concurrent-billing and per-code cap rules
  • Working with BCBAs: asking for the right documents at the right time
  • A disciplined 60/30/14-day re-authorization rhythm

Every candidate also completes HIPAA privacy and security training.

Typical software

  • CentralReach
  • Rethink
  • Payer portals
  • Smartsheet or Excel trackers

How it works remotely

Fully remote-ready. A strong fractional role for smaller practices that becomes full-time as caseloads grow.

Sample interview and skills-test items

  1. TrackerAuthorization: 97153 at 80 units per week through March 31. Next week’s schedule shows 24 hours and the re-authorization is pending. What do you flag, to whom and in what order?
  2. SCAAn out-of-network family needs a single-case agreement. List what you would gather and who signs.
  3. ProcessHow do you make sure a BCBA’s progress report is ready before the re-authorization deadline?

Hiring a authorization coordinator?

About half the cost of a local hire. Free to interview. No contract.

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