ABA Therapy Medical Billing Specialist

Job Description

Job Description

House of Hearts ABA is Seeking an ABA Therapy Medical Billing & Credentialing Specialist (Remote Position)

Job Title: ABA Therapy Medical Billing & Credentialing Specialist
Location: Remote
Employment Type: Full-Time

House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. The ideal candidate will have 7+ years of ABA-specific billing experience , handling both in-network and out-of-network claims , and must have extensive knowledge of the entire contracting and credentialing process. This role requires expertise in insurance verification, authorizations, claims processing, and provider enrollment.

• Process in-network and out-of-network claims efficiently and accurately.

• Obtain Verification of Benefits (VOBs) and ensure all coverage details are reviewed.

• Manage prior authorizations for ABA therapy services.

• Handle Single Case Agreements (SCAs) and negotiate terms with insurance providers.

• Submit insurance contracts and manage the entire credentialing and contracting process to enroll providers with insurance networks.

• Coordinate all front-desk billing tasks , including managing various insurance portals and direct calls to payers.

• Track and follow up on outstanding claims to ensure timely payment.

• Maintain compliance with insurance policies, coding requirements, and industry regulations.

• 7+ years of ABA-specific medical billing and credentialing experience (Required).

• Proven expertise in insurance contracting and credentialing processes.

• Strong understanding of insurance verification, authorizations, and claim submissions .

• Experience working with major insurance portals and handling SCAs .

• Ability to work independently and manage multiple tasks efficiently.

• Strong problem-solving skills and attention to detail.

If you are a seasoned ABA billing and credentialing expert looking for a stable and rewarding role, we’d love to hear from you! Please apply with your resume and a brief cover letter outlining your experience.