Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Kelley Corlew

Fleming Island,FL

Summary

Detail-oriented and highly organized ABA Authorization and Billing Specialist with 4 plus years of experience supporting behavioral health services through accurate insurance verification, authorization management, and billing coordination. Skilled in navigating payer requirements, managing reauthorizations, and resolving claim denials to ensure continuous client care and timely reimbursement. Proficient in EHR and billing software such as (CentralReach, availity, provider express, and Waystar) with a strong understanding of ABA coding, HIPAA compliance, and Medicaid/private insurance guidelines. Adept at collaborating with clinical and administrative teams to streamline operations and improve revenue cycle efficiency.

Overview

19
19
years of professional experience
1
1
Certification

Work History

ABA Authorization and Billing Specialist

Catalyst Behavior Solutions
09.2023 - 07.2025
  • Verified insurance benefits and eligibility for new and existing clients across various payers, including Medicaid and private insurers.
  • Collaborated with clinical staff and insurance representatives to gather required documentation, treatment plans, and progress reports.
  • Maintained detailed records of authorizations, denials, and appeals, reducing administrative delays by 25%.
  • Navigated payer-specific guidelines and maintained compliance with HIPAA and insurance policies.
  • Assisted with reauthorization workflows to ensure continuous care for clients without service interruptions.
  • Utilized Electronic Health Record (EHR) and practice management systems (e.g., CentralReach, Rethink, TherapyNotes) for documentation, scheduling, and authorization tracking.
  • Communicated with insurance companies to resolve discrepancies, clarify coverage limits, and expedite authorization approvals.
  • Tracked and managed authorization expiration dates, proactively initiating renewal processes to prevent lapses in service.
  • Provided support to families and caregivers by explaining insurance processes and guiding them through coverage requirements.
  • Prepared appeal letters for denied services, coordinating with the clinical team to submit supplemental documentation.
  • Ensured all authorizations were aligned with insurance company guidelines, billing codes (e.g., CPT), and service limits.
  • Coordinated with billing departments to resolve claim denials related to authorization issues.
  • Stayed current with changes in payer policies, ABA codes, and utilization review practices.
  • Participated in audits and compliance reviews to ensure proper documentation and adherence to authorization protocols.
  • Processed billing inquiries and resolved discrepancies to ensure accurate customer accounts.
  • Utilized billing software to generate invoices, ensuring timely delivery and compliance with company standards.
  • Reviewed payment histories to identify trends and improve collection strategies.
  • Collaborated with cross-functional teams to streamline billing operations and enhance overall efficiency.
  • Resolved billing discrepancies through effective communication with customers and internal teams.
  • Processed customer invoices accurately within established timelines.

Office and Authorization Specialist

Optimum ABA
07.2021 - 09.2023
  • Verified insurance benefits and eligibility for new and existing clients across various payers, including Medicaid and private insurers.
  • Collaborated with clinical staff and insurance representatives to gather required documentation, treatment plans, and progress reports.
  • Maintained detailed records of authorizations, denials, and appeals, reducing administrative delays by 25%.
  • Navigated payer-specific guidelines and maintained compliance with HIPAA and insurance policies.
  • Assisted with reauthorization workflows to ensure continuous care for clients without service interruptions.
  • Managed the authorization process for Applied Behavior Analysis (ABA) services, ensuring timely and accurate submission of initial and ongoing treatment requests.
  • Created, maintained, and updated filing systems for paper and electronic documents.
  • Updated reports, managed accounts, and generated reports for the company database.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
  • Developed policies and procedures for effective practice management.
  • Recruited, interviewed, and hired employees and implemented a mentoring program to promote positive feedback and engagement.
  • Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
  • Developed and maintained successful relationships with vendors, suppliers, and contractors.
  • Created reports, presentations and other materials for executive staff.
  • Organized and updated databases, records and other information resources.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
  • Built and maintained positive staff relationships to promote teamwork and better serve clients.
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Managed daily scheduling conflicts to reduce operational backlogs and support full shift coverage.
  • Developed strong working relationships with management and executive team through effective scheduling and communication skills.
  • Gathered employee data to develop monthly work schedules, enabling proper staffing for departments for each shift.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to the manager.
  • Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
  • Communicated scheduling changes to staff members, implementing proof-of-receipt to reduce errors.
  • Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
  • Addressed and remedied all patient or team member issues.
  • Developed close working relationships with the front office and back office staff.
  • Coordinated office events, seminars, and meetings for staff and clients.
  • Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
  • Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Streamlined patient authorization processes to enhance operational efficiency.
  • Reviewed and verified insurance eligibility for a variety of services.

RBT

Optimum ABA Therapy
11.2020 - 09.2023
  • Observed, monitored and recorded problem behaviors through accurate behavior-consequence data collection, graphs and anecdotal notes.
  • Conducted functional behavior assessments, functional analysis, preference assessments and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors.
  • Supported client using principles of applied behavior analysis.
  • Collaborated with client's support system and other allied specialists to implement positive interventions.
  • Kept accurate records by documenting progress and adhering to prescribed behavior plan.
  • Intervened with clients' challenging behaviors by reinforcing therapeutic alternatives and coping mechanisms.
  • Learned specialized behavior approaches to implement behavioral strategies.
  • Worked as part of collaborative team to address changing needs of children and families.
  • Offered active guidance to families adjusting to life with loved one on autism spectrum.
  • Provided responsive communication by phone and email to answer general and pressing questions.
  • Promoted positive interactions of children with ADHD, Autism and oppositional defiance behavior by using visual supports, simplifying communication and utilizing stress scales to turn emotions into concrete concepts.
  • Coordinated with medical and paramedical professionals to provide appropriate input and effectively formulate and implement treatment plans for patients.

Registered Behavior Technician

InBloom Autism Services
02.2019 - 10.2020
  • Utilizes positive reinforcement and antecedent modification to increase appropriate behaviors over time.
  • Manages inappropriate behaviors that occur. Through the implementation of Behavior Intervention Plans (BIPs) and consultation with our Board Certified Behavior Analysts (BCBAs)
  • Keeps the children motivated to learn through preference assessments.
  • Develop and implement bathroom training schedules for clients.
  • Accurately record information on the child's progress throughout the session.
  • Communicates confidentially and professionally with behavior analysts, teachers, parents and principals Review and evaluate clients' progress in relation to measurable goals described in treatment and care plans.
  • Attend training sessions to increase knowledge and skills.
  • Assist with training new employees.
  • Collaborates with clinicians
  • Facilitates interactions with peers, coworkers, and families.
  • Provides specialized services to individuals with disabilities.
  • Specializing in Autism and Emotionally disturbed disorders.

Special Education Teacher

Alamogordo Public Schools
04.2018 - 01.2019
  • Attended monthly staff training sessions.
  • Redirected poor behavior using the positive reinforcement method.
  • Created strategies to meet the needs of mentally and physically disabled students.
  • Implemented and taught a life skills program.
  • Communicated nonverbally with children to provide them with comfort, encouragement and positive reinforcement.
  • Designed and implemented a point system to encourage positive behavior.
  • Redirected students using Positive Behavior Support (PBS).
  • Taught reading, language arts and social sciences in a self-contained ED and LD classroom.
  • Coordinated special education students and teacher assistant schedules with the master schedule.
  • Established a safe play environment for the students.
  • Physically and verbally interacted with students throughout the day.
  • Organized instruction material, including constructing bulletin boards and setting up work areas.
  • Modified the general education curriculum for special-needs students based upon a variety of instructional techniques and technologies.
  • Fostered meaningful relationships among students through student field-trip retreats and team-work community service projects.
  • Corresponded with clients through email, telephone or postal mail.
  • Improved student's analytical skills by introducing state-of-the-art computer program technologies.
  • Met with parents to resolve conflicting educational priorities and issues.

Registered Behavioral Therapist

Behavioral Change Institute
04.2018 - 01.2019
  • Utilizes positive reinforcement and antecedent modification to increase appropriate behaviors over time.
  • Manages inappropriate behaviors that occur. Through the implementation of Behavior Intervention Plans (BIPs) and consultation with our Board Certified Behavior Analysts (BCBAs)
  • Keeps the children motivated to learn through preference assessments.
  • Develop and implement bathroom training schedules for clients.
  • Accurately record information on the child's progress throughout the session.
  • Communicates confidentially and professionally with behavior analysts, teachers, parents and principals
  • Review and evaluate clients' progress in relation to measurable goals described in treatment and care plans.
  • Attend training sessions to increase knowledge and skills.
  • Assist with training new employees
  • Collaborates with clinicians
  • Facilitates interactions with peers, coworkers, and families.

Registered Behavioral Therapist

Trumpet Behavioral Health
07.2017 - 04.2018
  • Registered Behavioral Therapist.
  • Implements individualized programs for children and young adults Trumpet Behavioral Health - Colorado Springs, CO based on ABA principles that increase communication, self-help, social and play skills.
  • Utilizes positive reinforcement and antecedent modification to increase appropriate behaviors over time.
  • Manages inappropriate behaviors that occur.
  • Through the implementation of Behavior Intervention Plans (BIPs) and consultation with our Board Certified Behavior Analysts (BCBAs).
  • Keeps the children motivated to learn through preference assessments.
  • Develop and implement bathroom training schedules for clients.
  • Accurately record information on the child's progress throughout the session.
  • Communicates confidentially and professionally with behavior analysts, teachers, parents and principals Review and evaluate clients' progress in relation to measurable goals described in treatment and care plans.
  • Attend training sessions to increase knowledge and skills.
  • Assist with training new employees.
  • Collaborates with clinicians.
  • Facilitates interactions with peers, coworkers, and families.
  • .
  • Provides specialized services to individuals with disabilities.
  • Specializing in Autism and Emotionally disturbed disorders.).

Special Education Paraprofessional

Minot Public Schools
10.2012 - 06.2017
  • Completes lesson plans for each student on caseload.
  • Assist with training new employees.
  • Works one on one with teachers and administrators.
  • Collaborates with teachers and administrators on IEP's.
  • Assist individuals with obtaining their goals as stated in their IEP's.
  • Teaches individuals programs such as Handwriting Without Tears, ERI, Reading Mastery, Edmark, along with other programs important for obtaining their goals.
  • Manage and maintain accurate record keeping procedures for the Special Education department.
  • Responsible for maintaining individuals files, goal sheets, data sheets, daily sheets.
  • Confer with parents, administrators, testing specialists, social workers, or other professionals to develop individual education plans (IEPs).
  • Develop or implement strategies to meet the needs of students with a variety of disabilities.
  • Employ special educational strategies or techniques during instruction to improve the development of sensory- and perceptual-motor skills, language, cognition, or memory.
  • Organize and lead activities designed to promote physical, mental and The Magellan Company - Jacksonville, Florida social development, such as games, arts and crafts, music, storytelling, and field trips.

Special Education Paraprofessional

Minot Public Schools
08.2011 - 09.2012
  • Provide a variety of materials and resources for children to explore, manipulate and use, both in learning activities and in imaginative play.
  • Identify children showing signs of emotional, developmental, or health- related problems, and discuss them with supervisors, parents or guardians, and child development specialists.
  • Meet with parents and guardians to discuss their children's progress and needs, determine their priorities for their children, and suggest ways that they can promote learning and development.
  • Establish clear objectives for all lessons, units, and projects, and communicate those objectives to children.
  • Maintain accurate and complete student records as required by laws, district policies, and administrative regulations.
  • Collaborate with other teachers and administrators in the development, evaluation, and revision of preschool programs.
  • Plan and conduct activities for a balanced program of instruction, demonstration, and work time that provides students with opportunities to observe, question, and investigate.
  • Administer tests to help determine children's developmental levels, needs, and potential.
  • .
  • Provide extra assistance to students with special needs, such as non- Minot Public Schools - Minot, ND English-speaking students or those with physical and mental disabilities.

Direct Support Professional

Minot Public Schools
04.2009 - 08.2011
  • Supervise students in classrooms, halls, cafeterias, school yards, and gymnasiums, or on field trips.
  • Tutor and assist children individually or in small groups to help them master assignments and to reinforce learning concepts presented by teachers.
  • Observe students' performance, and record relevant data to assess progress.
  • Type, file, and duplicate materials.
  • Provide disabled students with assistive devices, supportive technology, and assistance accessing facilities such as restrooms.
  • Carry out therapeutic regimens such as behavior modification and personal development programs, under the supervision of special education instructors, psychologists, or speech-language pathologists.
  • Use computers, audio-visual aids, and other equipment and materials to supplement presentations.
  • Present subject matter to students under the direction and guidance of teachers, using lectures, discussions, or supervised role-playing methods.
  • .
  • Maintain records of patient care, condition, progress, or problems to REM - Minot, ND report and discuss observations with supervisor or case manager.

Special Education Paraprofessional

Special Education Department
03.2006 - 01.2009
  • Observe students' performance, and record relevant data to assess progress.
  • Carry out therapeutic regimens such as behavior modification and personal development programs, under the supervision of special education instructors, psychologists, or speech-language pathologists.
  • Tutor and assist children individually or in small groups to help them master assignments and to reinforce learning concepts presented by teachers.
  • Provide extra assistance to students with special needs, such as non- English-speaking students or those with physical and mental disabilities.
  • Discuss assigned duties with classroom teachers to coordinate instructional efforts.
  • Discuss assigned duties with classroom teachers to coordinate instructional efforts.

Education

Bachelor of Science - Psychology And Social Behavior

University of Maryland University College
Adelphi, Maryland

Skills

  • Organized and adaptable worker welcomes new challenges, demonstrates leadership, and communicates effectively to get the tasks complete
  • Time Management
  • Self-motivated
  • Interpersonal and written communication
  • Applied Behavior Analysis proficiency
  • Dependable and Responsible
  • Documentation skills
  • HIPAA Requirements
  • Insurance verification
  • Customer service
  • Invoice processing
  • Billing systems and software

Certification

  • CERTIFICATIONS & COURSES
  • RBT certified.
  • First aid and CPR certified.
  • Safety Care certified.

Accomplishments

  • RBT certified.
  • First aid and CPR certified.
  • Safety Care certified.
  • CPI certified.
  • Training certificates for numerous training seminars which include but are not limited to crisis prevention/intervention training, anti terrorism, paraprofessional training seminars, etc.
  • Certified by the State of ND to work with children and adults with disabilities.
  • Certified by the state of ND as a Special Education Paraprofessional

Timeline

ABA Authorization and Billing Specialist

Catalyst Behavior Solutions
09.2023 - 07.2025

Office and Authorization Specialist

Optimum ABA
07.2021 - 09.2023

RBT

Optimum ABA Therapy
11.2020 - 09.2023

Registered Behavior Technician

InBloom Autism Services
02.2019 - 10.2020

Registered Behavioral Therapist

Behavioral Change Institute
04.2018 - 01.2019

Special Education Teacher

Alamogordo Public Schools
04.2018 - 01.2019

Registered Behavioral Therapist

Trumpet Behavioral Health
07.2017 - 04.2018

Special Education Paraprofessional

Minot Public Schools
10.2012 - 06.2017

Special Education Paraprofessional

Minot Public Schools
08.2011 - 09.2012

Direct Support Professional

Minot Public Schools
04.2009 - 08.2011

Special Education Paraprofessional

Special Education Department
03.2006 - 01.2009

Bachelor of Science - Psychology And Social Behavior

University of Maryland University College

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