ABA Billing Specialist

Overview At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over four decades of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. Why Powerback? Benefits : We offer Medical, Dental, and Vision plans to Full‑Time team members. We offer Dental and Vision to Part‑Time team members. Paid Time Off : We offer generous paid time off to Full‑Time and Part‑Time team members. Support for New Grads : Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field. Continuing Education : Keep growing with free CEUs through Medbridge. H-1B Visa & Relocation Assistance : We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full‑time role. Perks at Powerback : Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program. Responsibilities The ABA Billing Specialist is a highly experienced and self‑sufficient billing professional responsible for managing the full cycle of ABA billing operations from claim creation through final resolution. This role requires advanced knowledge of ABA billing practices, including CPT coding, authorization management, unit tracking, and payer‑specific requirements. The ABA Billing Specialist is responsible for ensuring the accuracy, timeliness, and completeness of all billing activities, including claim submission, payment posting, denial resolution, collections, and follow‑up. This position requires strong expertise in commercial insurance and the ability to effectively manage payer relationships to resolve complex billing issues and optimize reimbursement. In addition, the ABA Billing Specialist partners with BCBAs, clinicians, and internal operational teams to support accurate documentation submission, resolve billing‑related discrepancies, ensure authorization compliance, and facilitate timely claim processing and reimbursement. Processes and submits ABA claims for reimbursement, ensuring accurate CPT coding, modifiers, units, and payer‑specific billing requirements. Ensures all billed services align with authorizations, including verification of approved units, service types, rendering providers, and date ranges prior to claim submission. Identifies, analyzes, and resolves denials, including timely resubmission, appeals, and escalation to payers as needed. Maintains strong working knowledge of commercial insurance plans, payer policies, and ABA‑specific billing guidelines, applying this knowledge to resolve complex claim issues and prevent recurring errors. Manages payer interactions related to claim resolution, including follow‑up, escalation, and clarification of billing requirements to support timely reimbursement. Posts and reconciles payments, ensuring accuracy between remittances, system balances, and financial records. Monitors outstanding balances, including insurance and patient responsibility, and supports resolution of aged accounts. Ensures timely and accurate billing of all ABA services in accordance with payer deadlines and organizational standards. Maintains compliance with all applicable regulatory requirements, payer guidelines, and internal policies. Performs other related duties as required. Qualifications High school diploma or equivalent is required. A minimum of 3 years of experience in ABA billing for commercial insurance and Medicaid. Experience with full‑cycle billing processes, including claims submission, denial resolution, and payer follow-up, is required. This candidate will assist in scaling up the ABA billing program. Posted Salary Range USD $27.00 - $30.00 /Hr. #J-18808-Ljbffr