ABA and Autism Services Coordinator

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE

The ABA and Autism Services Coordinator is responsible for providing both administrative and clinical support in the behavioral health authorization process for ABA and Autism Services at Louisiana Blue. This position entails managing incoming communications, monitoring work queues within Epic, Enterprise Workflow, and fax systems, reviewing and entering ABA therapy authorization requests, and facilitating approvals in accordance with established criteria. The role also involves engaging with providers to obtain necessary documentation, clarify treatment plans, and communicate authorization decisions to members and providers.

How You Contribute to the Company’s Mission In This Role

• Responds to incoming inquiries related to ABA service requests, initiates authorization workflows, and appropriately routes cases to the BCBA Utilization Reviewer.
• Communicates authorization decisions and procedural guidance to members and providers, including instructions for accessing the iLinkBlue portal and submitting requests.
• Coordinates and schedules meetings between providers and the BCBA as directed.
• Assists in the collection of relevant data and enters pre-authorization information into Epic or other designated systems under the supervision of licensed health professionals. This includes demographic and service-related details.
• Conducts benefit reviews to determine member coverage for requested services and relays findings to professional staff.
• Supports the review and approval of routine service requests that meet established criteria, as authorized by licensed professional staff, including the Behavioral Health Medical Director.
• Organizes and summarizes clinical documentation submitted with requests—such as treatment plans, progress notes, and assessments—for evaluation by the BCBA Utilization Reviewer.
• Prepares and disseminates written and verbal notifications regarding authorization decisions, ensuring accuracy and completeness of correspondence.
• Investigates databases and systems (e.g., Facets, Epic) to identify duplicate or misrouted requests, forwarding them to appropriate departments and initiating workflows accordingly.
• Performs additional duties as assigned.

Required Qualifications 

• High school diploma or equivalent
• 2 years of experience in healthcare, specifically autism-related services
• Familiarity with medical terminology, particularly terminology associated with ABA therapy and developmental disorders
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, etc.)
• Strong organizational skills and attention to detail
• Ability to manage multiple tasks and prioritize effectively in a dynamic environment
• Excellent verbal and written communication skills
• Demonstrated ability to interact professionally with individuals at all organizational levels

Preferred Qualifications

• Active or previous certification as a Registered Behavior Technician (RBT) or Registered Line Technician (RLT)
• Experience supporting utilization management processes or working with Electronic Health Records/Systems

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

• Perform other job-related duties as assigned, within your scope of responsibilities.
• Job duties are performed in a normal and clean office environment with normal noise levels.
• Work is predominately done while standing or sitting.
• The ability to comprehend, document, calculate, visualize, and analyze are required.

An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. 

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. 

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.