ABA Billing Specialist

Location: West Palm Beach, FL (On-site)
Reports To: Billing Manager / Clinic Director
Salary Range: $22.00 - $27.00 per hour (DOE)


Job Summary:
We are seeking a detail-oriented Billing Specialist to join our ABA therapy practice. You will be responsible for the full lifecycle of claims-from initial submission to final payment. You'll play a critical role in ensuring our therapists can focus on clinical care while you handle the complexities of Florida insurance and Medicaid reimbursements.


Key Responsibilities:

• Claims Submission: Accurately submit electronic and paper claims for ABA services (97151, 97153, 97155, etc.).
• Authorization Management: Track and maintain active authorizations to prevent "rendered without auth" denials.
• Denial Management: Research, appeal, and resolve denied or underpaid claims in a timely manner.
• Payment Posting: Accurately post ERAs and patient payments into the practice management system.
• Payer Communication: Maintain professional relationships with major Florida payers (BCBS, Aetna, UnitedHealthcare, and Florida Medicaid).

• ABA Experience: Minimum 1-2 years of experience specifically in ABA Therapy billing (preferred) or general medical billing.
• Software Savvy: Proficiency in ABA platforms like CentralReach, Portia, or Catalyst.
• Local Knowledge: Experience navigating Florida Medicaid portals and Florida-specific insurance nuances.
• Skills: Strong understanding of EOBs, COB (Coordination of Benefits), and the appeals process.

• Competitive salary and benefits.
• A supportive, mission-driven environment helping children with autism.
• 401k, PTO, Flexible Hours, Supplemental Health Benefits.