Top 241 Remote prior authorization Jobs in Largo, Md

ABA Authorization Specialist (Remote position)
Little Leaves —Silver Spring, MD
- From $26.45 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Children
Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
Adjunct Faculty, Introductory Technology/Computer Literacy
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- Computer science
Adjunct Faculty, Citizenship Exam Prep
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- English
Bilingual BCBA Clinical Lead & Supervisor
Linke Resources —Kensington, MD
- $90,000 - $100,000 a year
- Full-time
- Hybrid work
- Spanish
- English
- Mid-level
- Continuing education credits
- Mileage reimbursement
Quick Apply
Senior Electrical Engineer (Power Loads)
Pantheon Data —Washington, DC
- $85,000 - $105,000 a year
- Full-time
- Microsoft Excel
- 6 years
- Microsoft Outlook
- Tuition reimbursement
2d
Senior Cybersecurity Engineer
Leidos —Lorton, VA
- $131,300 - $237,350 a year
- Full-time
- Master's degree
- Bachelor's degree
- Continuous improvement
Adjunct Faculty, ESL
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- English
Part-time Jr Webflow Developer
Uniqcli —Washington, DC
- $24 - $35 an hour
- Part-time
- Hybrid work
- Computer Science
- High school diploma or GED
- JavaScript
- Paid training
- Employee discount
Quick Apply
Reference & Instruction Librarian
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Computer literacy
- English
Adjunct Faculty, CPR (Infant/Child)
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- CPR Certification
Adjunct Faculty, Hospitality
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- English
Adjunct Faculty - Communication and Public Relations
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- Doctoral degree
Adjunct Faculty, SAGE History and Culture
Prince George's Community College —Largo, MD
- Part-time
- Remote
- Background check
- Classroom
- Computer literacy
Adult Education ESL Adjunct Faculty
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- English
Planning for Academic Success Adjunct Faculty
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- English
Professional Development Adjunct Faculty
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- Computer literacy
Faculty, English
Prince George's Community College —Largo, MD
- $53,850 - $75,850 a year
- Weekends as needed
- Hybrid work
- Background check
- School experience
- Classroom
Medical Billing Adjunct Faculty
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- Classroom
- English
Adjunct Faculty, Physical Education
Prince George's Community College —Largo, MD
- Part-time
- Hybrid work
- Background check
- School experience
- Classroom

I want to receive the latest job alert for remote prior authorization in largo, md

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

remote prior authorization jobs near largo, md

ABA Authorization Specialist (Remote position)

Little Leaves -
Silver Spring, MD

Apply Now

Job Details

Full-time
From $26.45 an hour

Qualifications

Appeals
HIPAA compliance
Process audits
Spreadsheets
Practice management software
HIPAA
Patient management software
Medical billing compliance checks
Blue Cross Blue Shield health insurance
Mid-level
Case appeal in utilization management
Pre-authorization review for utilization management
Utilization management
Resource utilization in healthcare
CPT coding
Organizational skills
Data collection
Clinical confidentiality policies
Insurance claims appeal handling
Process management
2 years
Communication skills

Full Job Description

Company Overview:

Tiny steps bring big results at Little Leaves Behavioral Services for children, families, and team members alike. Our passionate clinicians and technicians work one-on-one with children with autism spectrum disorder (ASD) ages 1 to 6 to prepare them to thrive in school and life. This is a journey of impact and meaning. Achieve positive outcomes, pursue meaningful development, and realize purposeful balance as part of our team.

Small steps, big effects ... start with you: What you can expect to do.

See how small steps bring big results for children, families, and team members alike. Work one-on-one with young children with autism to deliver individualized treatment designed by a Board-Certified Behavior Analyst. As a critical member of the child’s therapy team, you will facilitate learning and playing in groups, collect data, and implement feedback from supervisors.

Overview:

ABA Authorization Specialist 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.

Responsibilities:

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

Qualifications:

Desired Qualifications

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

Posted Min Pay Rate: USD $26.45/Hr.

Apply Now

Refine Your Search

remote prior authorization jobs in largo, md

ABA Authorization Specialist (Remote position)

Pre-Registration Specialist, Per Diem

Adjunct Faculty, Introductory Technology/Computer Literacy

Adjunct Faculty, Citizenship Exam Prep

Bilingual BCBA Clinical Lead & Supervisor

Senior Electrical Engineer (Power Loads)

Senior Cybersecurity Engineer

Adjunct Faculty, ESL

Part-time Jr Webflow Developer

Reference & Instruction Librarian

Adjunct Faculty, CPR (Infant/Child)

Adjunct Faculty, Hospitality

Adjunct Faculty - Communication and Public Relations

Adjunct Faculty, SAGE History and Culture

Adult Education ESL Adjunct Faculty

Planning for Academic Success Adjunct Faculty

Professional Development Adjunct Faculty

Faculty, English

Medical Billing Adjunct Faculty

Adjunct Faculty, Physical Education

I want to receive the latest job alert for remote prior authorization in largo, md

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected