ABA Accounts Receivable (AR) Specialist

Job Description

Overview Job Title:

ABA Accounts Receivable (AR) Specialist

Location:

India (Remote)

Compensation:

Market Value

The

ABA Accounts Receivable (AR) Specialist

will work under the direction of the

President/Clinical Director and RCM Manager

and will play a critical role in the financial health and scalability of Know Boundaries. This position is responsible for managing the

full ABA claims lifecycle after submission , with a strong focus on

aging, denials, follow-up, and collections

across commercial and government payers.

This role requires exceptional organization, analytical thinking, and persistence, as well as a strong understanding of

ABA billing rules, authorizations, and payer requirements . The AR Specialist will collaborate closely with clinical, scheduling, and authorization teams to ensure timely and accurate reimbursement for services rendered.

Requirements

Preferred experience in ABA billing and Accounts Receivable

Demonstrated experience working directly with

Medicaid and commercial insurance payers

Strong understanding of the

claims lifecycle, EOBs, denials, and appeals

Exceptional attention to detail , critical thinking, and problem-solving skills

Excellent written and verbal communication with internal teams and insurance representatives

Ability to work during

U.S. business hours

Experience using

CentralReach

billing platform (preferred)

Ability to independently manage aging AR and meet productivity benchmarks

Key Responsibilities

Accounts Receivable & Claims Follow-Up

– Maintain strict

HIPAA-compliant confidentiality

of all client and payer data

Monitor and manage

accounts receivable aging , with a primary focus on unpaid and underpaid claims

Follow up on

rejected, denied, and outstanding claims

in accordance with internal timelines

Analyze EOBs and remittance advice to identify root causes of denials and payment discrepancies

Submit

corrected claims and reconsiderations

as needed

Prepare and submit

formal appeals

with appropriate clinical and billing documentation

Post insurance and patient payments accurately and timely

ABA Billing & Payer Compliance

Review and interpret

ABA payer contracts, authorization requirements, and billing rules

Ensure claims are submitted in compliance with

ABA-specific coding, modifiers, units, and authorization limits

Research payer-specific billing requirements and maintain an

internal payer knowledge database

Collaborate with authorization and clinical documentation teams to resolve billing issues proactively

Patient Billing & Communication

Generate and send

patient statements

and bill patient responsibility on a weekly basis

Respond to billing-related emails and inquiries within

24 hours

Evaluate and resolve customer billing concerns professionally and efficiently

Reporting, Quality Assurance & Metrics

Maintain accurate AR notes and documentation within the billing system

Track, measure, and report on

key AR and collections metrics , including aging trends and denial patterns

Perform quality assurance audits to ensure billing and follow-up timelines are consistently met

Achieve and maintain a

95–100% monthly collection rate within 60 days of month-end

Prepare summaries on outstanding revenue, payer issues, and billing trends as requested

Team Collaboration & Growth

Assist with training, mentoring, and supporting new billing team members

Cross-train and assist with

credentialing, authorizations, and other RCM functions

as needed

Foster a positive, collaborative work environment and contribute to continuous process improvement

Why This Role Matters This position is essential to ensuring Know Boundaries can continue delivering high-quality ABA services while maintaining financial sustainability. The ABA AR Specialist is expected to take ownership of assigned payers and accounts and drive results through consistent follow-up, accuracy, and accountability.

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