RemoteVA PH is hiring a Medical Biller with a specialized focus on ABA Therapy services. You will be responsible for submitting accurate claims, verifying insurance, managing authorizations, and ensuring compliance with billing regulations to maintain smooth revenue cycle operations.
What You'll Do
- 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, initiating 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
What We're Looking For
- 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, Office Ally, Kareo, SimplePractice)
- In-depth knowledge of ABA billing codes, modifiers, and payer-specific requirements
- Strong organizational and follow-up skills
- Familiarity with Medicaid and commercial insurance billing processes
- High attention to detail and ability to manage multiple accounts
Nice to Have
- Experience with CentralReach or similar ABA-specific EMR platforms
- Understanding of insurance credentialing and contracting
- Bilingual (English/Spanish) proficiency
Technical Stack
- CentralReach
- Office Ally
- Kareo
- SimplePractice
Team & Environment
You will collaborate directly with BCBAs and administrative staff to resolve billing issues and ensure smooth revenue cycle operations.
Work Mode
This is a fully remote, global position.
