ABA Medical Billing Specialist
New
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Opal Autism CentersABA healthcare billing
Workable workplace: remote; Workable locations: North Carolina, United States. Idaho, United States. Utah, United StatesContractMiddle
Salary30 - 35 USD per hour
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Job Details
- Experience
- At least 3 years of medical billing experience. At least 2 years of ABA therapy billing experience.
- Required Skills
- Microsoft ExcelHIPAA
Requirements
- At least 3 years of medical billing experience.
- At least 2 years of ABA therapy billing experience.
- Experience with CentralReach billing functions.
- Strong knowledge of ABA CPT codes and payer billing requirements.
- Experience using Waystar or a comparable healthcare clearinghouse.
- Ability to review and interpret EOBs, remittance advice, payer communications, and claim rejections.
- Experience managing high-volume claim submission workloads.
- Strong attention to detail and billing accuracy.
- Strong organizational and time-management skills.
- Ability to work independently and consistently meet established productivity expectations.
- Reliable high-speed internet access and a secure, professional remote work environment appropriate for handling protected health information.
- Preferred: Pediatric healthcare billing experience; experience reducing billing backlogs or resolving aged revenue; knowledge of commercial insurance, Medicaid, and managed care billing requirements for ABA services; advanced Microsoft Excel and reporting skills.
Responsibilities
- Review, validate, and submit ABA therapy claims using CentralReach and applicable clearinghouse systems.
- Process the assigned billing backlog while meeting established productivity expectations.
- Verify client demographics, authorizations, provider credentials, CPT codes, units, dates of service, and place-of-service requirements.
- Identify documentation issues that prevent claims from being submitted and coordinate corrections or addendums with BCBAs, Clinical Directors, and other providers.
- Review claims for payer-specific billing requirements and help prevent duplicate billing and authorization utilization errors.
- Review rejected, held, or otherwise unsubmitted claims; research rejection reasons, correct errors, and resubmit claims when appropriate.
- Identify and escalate recurring billing barriers or trends, and document follow-up activity and claim resolutions.
- Track daily claim submission volume and backlog reduction progress and provide regular project status updates to Revenue Cycle leadership.
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