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Remote ABA Therapy Medical Billing Specialist

Work from home Full-time role Hiring

ABA Therapy Medical Billing Specialist Job Summary: House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. As a critical member of our billing team, you will be responsible for handling both in-network and out-of-network claims, ensuring accurate and efficient billing processes, and maintaining compliance with insurance policies and industry regulations. 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

How to Apply: If you are a seasoned ABA billing and credentialing expert looking for a stable and rewarding role, we'd love to hear from you! Please apply with your resume, and a brief cover letter outlining your experience. Job Type: Full-Time Location: Hollywood, Florida (Remote) Minimum Years of Experience: 6 Level of Education: Bachelor's Degree Benefits: n/a Apply now and join our team of dedicated professionals who are passionate about making a difference in the lives of children with autism! Apply To This Job

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