ABA Therapy Medical Billing Specialist

Responsibilities:

Process in-network and out-of-network claims efficiently and accurately

Obtain Verification of Benefits (VOBs) and ensure all coverage details are reviewed

Manage prior authorizations for ABA therapy services

Handle Single Case Agreements (SCAs) and negotiate terms with insurance providers

Submit insurance contracts and manage the entire credentialing and contracting process to enroll providers with insurance networks

Coordinate all front-desk billing tasks, including managing various insurance portals and direct calls to payers

Track and follow up on outstanding claims to ensure timely payment

Maintain compliance with insurance policies, coding requirements, and industry regulations

Requirements:

7+ years of ABA-specific medical billing and credentialing experience (Required)

Proven expertise in insurance contracting and credentialing processes

Strong understanding of insurance verification, authorizations, and claim submissions

Experience working with major insurance portals and handling SCAs

Ability to work independently and manage multiple tasks efficiently

Strong problem-solving skills and attention to detail

What We Offer:

Competitive $20 – $28 Hourly based on experience

Opportunity to work for a reputable organization making a difference in the lives of children with autism