Payor Services Specialist

About Children’s Specialized ABA

Children’s Specialized ABA is designed to address the comprehensive needs of children diagnosed with Autism Spectrum Disorder (ASD). By leveraging the expertise of the Children’s Specialized Hospital Autism Center of Excellence, the program aims to expand access to innovative and compassionate care, empowering children diagnosed with autism to thrive. Children’s Specialized ABA offers home-based, community-based, and center-based ABA therapy.

At Children’s Specialized ABA, we envision a future where every child diagnosed with autism has access to innovative and compassionate care, empowering them to thrive and reach their full potential. Our vision is built on four core values:

• Inclusivity: We celebrate the diversity within the Autism spectrum and are committed to creating an inclusive environment that respects and values each person’s individual strengths and differences.

• Innovation: We foster a culture of creativity and collaboration, exploring new ideas to develop personalized solutions that enhance quality of life for all children with Autism.

• Connection: We actively engage with the health systems and broader community to coordinate services and care for people with Autism.

• Quality and Safety: We invest in research and training to provide cutting-edge, effective, safe, and personalized services tailored to the unique needs of those we serve.

Join Us as a Payor Services Specialist

The Payor Services Specialist supports the organization wherever needed to keep reimbursement accurate and operations ready. Core responsibilities include maintaining a centralized, up-to-date library of payor rules; coordinating cross-team updates; ensuring portal and provider data accuracy; and assisting with payor claim, authorization, and credentialing resolution projects.

What You'll Do:

Track payor projects

• Own a clear log of open claim, auth, or credentialing issues and keep them moving to resolution, ensuring timely updates and closure. Communicate directly with payors to resolve barriers, document commitments, and keep internal stakeholders aligned.

Review payor newsletters and notices

• Monitor payor communications, identify what’s changing. Align with the Payor Services Director to communicate and coordinate updates with Authorizations, Billing, and Clinical teams to ensure seamless adoption.

Maintain a payor rules library

• Keep a single, accurate source of truth for payor guidelines and requirements so teams can find current rules quickly and avoid errors.

Track authorization denials and manage appeals

• Centralize oversight of denials and appeals to protect revenue, meet deadlines, and spot payor patterns that need escalation.

Support new payor contract rollouts

• Translate new agreements into operational readiness by setting up portals, EFT, and assisting with initial provider roster loading.

Maintain Payor Portal Access and Data Accuracy

• Ensure all payor portals are accessible and up to date with correct provider rosters, addresses, tax IDs, and EFT/ERA settings. Monitor for access issues, expired credentials, or incorrect listings that could impact claims or authorizations.

Support Payor Audits and Information Requests

• Assist in gathering documentation and summaries for payor audits, data validations, or special project reviews. Track requests, confirm submissions, and maintain clear audit trails for compliance.

What You'll Need

Education

• High school diploma or GED.

Experience

• 2–4 years of experience in healthcare revenue cycle, payor relations, contracting, or billing operations required.

• Experience working with insurance payors, including portal navigation, claims research, and appeals follow-up.

• Exposure to multi-state or multi-payor environments preferred.

• Familiarity with credentialing processes and provider data management is a plus.

Work Location & Hours:

This is a full-time position in a hybrid work setting in our Greensboro, NC EI Center.

Why Work With Children’s Specialized ABA?

We’re an amazing ABA provider! We take a whole-child, whole-caregiver approach. Our integrated model combines ABA therapy with speech, occupational therapy, and behavioral health support. You’ll be part of a deeply collaborative, mission-driven team.

Here’s what you can expect:

• Up to 19 paid days off in your first year (including PTO, sick time, and holidays); earned on an accrual basis, paid time off increases with tenure

• Comprehensive benefits including FREE medical (for employee, buy-up for dependent/partner coverage), voluntary dental, vision, short-term disability, critical illness coverage, and more!

• Free 50k life insurance policy.

• Free Employee Assistance Program (EAP).

• 401(k) retirement savings plan

• Company discount program – discounts of amusement parks, memberships, cruises, movie tickets, spas, sports ticks and more.

Reasonable Pay Estimate

A reasonable estimate of the pay range for this position is $23.00 per hour. There are numerous factors taken into consideration in determining the actual offered rate of pay, including but not limited to: job-related qualifications, experience, skills, education, geographic location, and consideration of internal and experience equity.

Children’s Specialized ABA provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.