ABA Billing Specialist

Overview Join Our Team! Atlanta Autism Center is hiring an ABA Billing Specialist. The ABA Billing Specialist will be responsible for credentialing, shared billing tasks, and overseeing authorizations. The Billing Specialist is responsible for all claims submissions, collections, and payment postings in a timely manner. Responsible for follow-up with third‑party payers and clients. Also responsible for keeping A/R to a minimum as set forth in established goals. Additional tasks in full job description. Locations: Lawrenceville, Norcross, Flowery Branch, Alpharetta, Loganville, and Covington. Essential Duties and Responsibilities Perform job tasks on‑site. Develop and implement billing processes, policies, and procedures in collaboration with VPO and leadership team. Document and create SOPs for all billing processes for training. Collect and verify all patient insurance information needed to complete the billing process on a monthly basis. Complete all necessary insurance forms, schedule peer reviews, and other tasks needed to process claims in a timely manner as required by all third‑party payers. Daily reconcile sessions to ensure all sessions have been converted and authorizations correctly linked. Work with practice managers to ensure notes are converted, billing entries are accurate and completed in a timely manner for submission. Transmit daily all electronic claims to third‑party payers. Research and resolve any electronic claim delays within 24 hours. Proactively follow up on pending claims within a few days of submission. Submit any paper claims and supporting documentation as required by payers. Resolve patient complaints and requests regarding insurance billing in a courteous manner, initiate accurate account adjustment/payment arrangements. Follow all billing problems to conclusion. Submit secondary and tertiary insurances. Follow up on denials and resubmit insurance claims as required. Maintain confidentiality regarding patient account status and the financial affairs of the clinic as required by HIPAA and the signed confidentiality agreement. Communicate effectively with payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines. Responsible for monthly billing cycle and patient statements. Reconcile with administration for month end. Follow all guidelines as set forth by HIPAA. Credentialing and authorizations as needed. Train and supervise billing staff. Organize and maintain order and cleanliness of billing area. Record retention as required by law. Generate reports and deliver to VPO as requested. Requirements ABA billing experience, eClinical, EMR, and ECW. Familiarity and experience with CentralReach. Knowledge of office procedures. Ability to speak clearly and concisely; ability to read, understand, and follow oral and written instruction. Basic medical terminology. Ability to interpret an EOB and knowledge of computerized billing systems. Ability to develop goals, prioritize, organize, and make efficient use of time. Ability to communicate with patients in a courteous yet firm manner to collect on delinquent accounts. Ability to use individual judgment to solve problems and make decisions. Education and/or Experience Requires a minimum of 2 years experience in an ABA setting or 5 years in a medical business office setting. Qualifications Familiarity with CentralReach, and/or ABA, SLP or OT billing. Certificates, Licenses, Registration Billing/Coding certification a plus. Availability Candidates must be available to work on‑site, as this is not a remote position. Non‑Discrimination Statement The Atlanta Autism Center (AAC) is an equal opportunity employer. We are committed to building a diverse and inclusive workplace and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local laws. AAC complies with applicable laws regarding accommodations for qualified individuals with disabilities. We encourage individuals of all backgrounds to apply. #J-18808-Ljbffr Atlanta Autism Center