Job Description
Key Responsibilities:
- Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers
- Verify insurance eligibility and benefits for new and existing clients
- Track and follow up on unpaid or denied claims; initiate appeals as needed
- Manage authorizations, re-authorizations, and documentation requirements for ongoing services
- Reconcile payments, post EOBs, and generate client invoices as needed
- Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155)
- Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations
Requirements:
- 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services
- Proficiency in billing software and clearinghouses (e.g., CentralReach, Off...