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:
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!