Remote ABA Therapy Medical Billing Specialist

ABA Therapy Medical Billing Specialist Job Summary: House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. As a critical member of our billing team, you will be responsible for handling both in-network and out-of-network claims , ensuring accurate and efficient billing processes, and maintaining compliance with insurance policies and industry regulations. Responsibilities: 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 Requirements: 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 What We Offer: Competitive $20 - $28 Hourly based on experience Opportunity to work for a reputable organization making a difference in the lives of children with autism Job Type: Full-Time Location: Hollywood, Florida (Remote) Minimum Years of Experience: 6 Level of Education: Bachelor's Degree Benefits: n/a #J-18808-Ljbffr House of Hearts ABA