ABA Billing Specialist I | ONSITE (A-WCR)

Sourcefit Philippines, Inc.

Quezon City

On-site

PHP 300,000 - 420,000

Full time

6 days ago
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Job summary

Sourcefit Philippines, Inc. is seeking an ABA Billing Specialist I to oversee revenue cycle activities for ABA therapy services, ensuring accurate billing, timely reimbursement, and compliant operations.

The role collaborates with the PH Billing Team and clinical staff to resolve billing issues, maintain accurate patient accounts, and support uninterrupted client care. Strong attention to detail and HIPAA compliance are essential.

Qualifications

  • HS Diploma required.
  • Experience in ABA or medical billing preferred.
  • 1–3 years ABA billing/authorization experience preferred.
  • Excellent communication and organizational skills.

Responsibilities

  • Collect patient cost shares and create payment plans for ABA therapy services.
  • Collaborate with PH Billing Team on shared patients.
  • Support AR collection and denial management processes for timely reimbursement.
  • Prepare, review, and submit claims in compliance with payer and regulatory requirements.
  • Post payments, adjustments, and denials from payers and patients to the correct accounts.
  • Conduct benefits verifications for ABA patients.
  • Communicate financial responsibility estimates to families based on insurance quotes.
  • Support EMR notes issues with the clinical team for timely resolution.
  • Gather ABA medical records for audit requests.
  • Ensure compliance with HIPAA standards and privacy regulations.
  • Demonstrate adherence to ethical billing practices.

Skills

ABA billing
Payment posting
AR follow-up
Denial management
Payer communications
HIPAA compliance
Attention to detail
Time management

Education

High School Diploma

Tools

EMR system
Payer portals
Billing software

Job description

Position Summary

The ABA Billing Specialist I is responsible for managing key revenue cycle activities to support accurate billing, timely reimbursement, and effective financial operations for ABA therapy services. This role oversees claims preparation and submission, payment posting, accounts receivable follow-up, denial resolution, and patient financial responsibility processes while ensuring compliance with payer requirements and regulatory standards.

The ABA Billing Specialist works closely with internal teams, including the PH Billing Team and clinical staff, to resolve billing-related issues, maintain accurate patient accounts, and support uninterrupted client care. This position requires strong attention to detail, problem-solving skills, and a commitment to ethical billing practices, HIPAA compliance, and delivering a high-quality experience for patients and families.

Job Details

Onsite (Eastwood)

Monday to Friday, 8 am - 5 pm MST

Following US Holidays

Key Responsibilities:
  • Collect patient cost shares and create payment plans for ABA therapy services.

  • Collaborate with PH Billing Team on shared patients

  • Support Accounts Receivable (AR) collection activities and denial management processes to ensure timely reimbursement and resolution of outstanding claims.

  • Prepare, review, and submit claims in compliance with payer and regulatory requirements.

  • Post payments, adjustments, and denials received from payers and patients to appropriate accounts.

  • Conduct accurateBenefit Verificationsfor ABA patients.

  • Communicate financial responsibility estimates to families based on insurance quotes.

  • Support session notes issues identified by EMR system and collaborates with the clinical team to ensure timely resolution.

  • Gather and organize ABAmedical recordsfor audit requests.

  • Ensure compliance withHIPAA standardsand privacy regulations.

  • Demonstrate strong knowledge of and adherence toethical billing practices.

Position Qualifications and Credentials:
  • Minimum of a HS Diploma

  • Experience with administrative tasks, preferably within the context of an ABA or medical setting

  • 1-3 years' experience working with ABA billing and authorization processes is preferred

  • Excellent communication, time management, problem-solving, and organizational skills

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