ABA Therapy Medical Billing Specialist
House of Hearts ABA is Seeking an ABA Therapy Medical Billing & Credentialing Specialist (Remote Position) Job Title: ABA Therapy Medical Billing & Credentialing Specialist Location: Remote Employment Type: Full-Time Job Description: House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. The ideal candidate will have 7+ years of ABA-specific billing experience, handling both in-network and out-of-network claims, and must have extensive knowledge of the entire contracting and credentialing process. This role requires expertise in insurance verification, authorizations, claims processing, and provider enrollment. 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.
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. Apply tot his job Apply To this Job