Hollywood, FL · Remote
$20 - $28/hr
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 ...
Quick apply
Hollywood, FL · Remote
$20 - $28/hr
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 ...
Fort Myers, FL · On-site +1
$90K - $117K/yr
Remote - FL Department: Corporate Systems and IT Administration Work Type: Full Time Shift: Shift 1/ to Minimum to Midpoint Pay Rate: $90,667 - $117,852 / Annual Join a mission-driven health system ...
Fort Myers, FL · On-site +1
$90K - $117K/yr
Remote - FL Department: Corporate Systems and IT Administration Work Type: Full Time Shift: Shift 1/ to Minimum to Midpoint Pay Rate: $90,667 - $117,852 / Annual Join a mission-driven health system ...
Fort Myers, FL · On-site +1
$90K - $117K/yr
Remote - FL Department: Corporate Systems and IT Administration Work Type: Full Time Shift: Shift 1/ to Minimum to Midpoint Pay Rate: $90,667 - $117,852 / Annual Join a mission-driven health system ...
Fort Myers, FL · On-site +1
$90K - $117K/yr
Remote - FL Department: Corporate Systems and IT Administration Work Type: Full Time Shift: Shift 1/ to Minimum to Midpoint Pay Rate: $90,667 - $117,852 / Annual Join a mission-driven health system ...
Medley, FL · On-site +1
This position is remote.** CORE JOB FUNCTIONS * Assists management with the training of new staff. * Runs reports weekly on accounts and monitors to keep the contents at a minimum. * Verifies all ...
Medley, FL · On-site +1
This position is remote.** CORE JOB FUNCTIONS * Assists management with the training of new staff. * Runs reports weekly on accounts and monitors to keep the contents at a minimum. * Verifies all ...
A typical day for a Remote Pega professional involves designing and developing customized business applications using the Pega platform, participating in virtual meetings to gather requirements, and troubleshooting technical issues. Collaboration with product owners, business analysts, and other developers is primarily done through project management tools, video calls, and online documentation platforms. You'll often participate in agile ceremonies such as daily stand-ups and sprint planning, ensuring alignment with project goals and timelines. Working remotely offers flexibility, but it requires strong proactive communication and self-discipline to stay connected with your team and deliver high-quality solutions.
To thrive as a Remote Pega professional, you need a solid understanding of the Pega platform, experience in BPM/CRM application development, and a degree in computer science or a related field. Familiarity with Pega tools such as Pega PRPC, certifications like CSA or CSSA, and knowledge of relevant frameworks and integration methods are highly valuable. Excellent problem-solving, self-management, and virtual collaboration skills help you excel while working with distributed teams and clients. These abilities ensure effective delivery of Pega solutions, seamless teamwork, and successful project outcomes in a remote environment.
A Remote Pega job involves working with Pega's low-code automation platform to design, develop, and implement business process management (BPM) solutions from a remote location. Professionals in this role typically work on projects related to workflow automation, case management, and customer relationship management (CRM) using Pega software. They collaborate with teams virtually to gather requirements, configure applications, and optimize business processes. This role is ideal for Pega developers, architects, and business analysts who prefer flexible, remote work arrangements.
$20 - $28/hr
Part-time
Posted 20 days ago
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!
