ABA Billing Specialist

Living Forward ABA; Indiana; Remote; USD 26,000 - 30,000; Part time

Job summary

Living Forward ABA in Indiana is seeking a part-time Billing Coordinator to handle full authorization and claim processes for ABA therapy from a remote setup. Responsibilities include benefit verification, pre-authorizations, claims submission, denials and appeals, and coordination with the clinical team.

You will verify Medicaid eligibility monthly, assist with patient payments, and prepare reports for owners, while maintaining HIPAA confidentiality and ensuring accurate reconciliations with

Qualifications

• Comfortable with computers and general office tasks, with strong verbal and written communication.
• Experience or familiarity with billing software is preferred.
• Must be located in Indiana and able to work remotely within the state.

Responsibilities

• Assist with full authorization and claim processes for ABA therapy, including verification, pre-authorization, submissions, denials and appeals.
• Coordinate benefits checks with clinical director and owners as needed.
• Assist with pre-authorizations for therapy codes, gather information, submit, and follow up.
• Check Medicaid eligibility and benefits verification monthly.
• Coordinate and assist with patient payment processes and follow-up on authorizations.
• Maintain HIPAA confidentiality and report issues to Clinical Director and owners.
• Prepare reports for owners and reconcile issues with online platform and clearinghouse.
• Follow up on claims and denials as required.
• Other duties as assigned.

Skills

Communication

Team player

Organization

Time management

Problem solving

Phone communication

Education

High school diploma

Tools

Billing software

Job description

This is a remote position, open only to candidates who reside in Indiana. We are unable to consider applicants living outside the state.

Position Description

• Assisting with full authorization and claim process for ABA therapy, including but not limited to: as initial benefit verification, pre-authorization, claims submission, denials, and appeals.
• Coordinate with clinical director and owners to check benefits, when needed.
• Coordinate and assist with clinical director and owners to achieve pre-authorizations for all therapy codes. This includes: gathering information, submitting using proper method, and following up as needed.
• Check eligibility and benefits verification for Medicaid patients monthly
• Coordinate and assist with patient payment process
• Verify authorizations and follow-up on pending authorizations as needed
• Maintain client confidentiality per HIPAA Privacy Rule Regulations
• Communicate issues, info and support needs to Clinical Director and owners
• Prepare various reports as needed for owners
• Reconcile all issues with online platform and clearinghouse
• Follow up on claims and denials, as needed.
• Other duties as assigned, requested, and/or necessary

Qualifications

• This person must be comfortable with computers, general office tasks, and excel at both verbal and written communication
• Experience with billing software preferred
• A positive team player and energetic professional
• Strong organizational habits with attention to detail and accuracy
• Good time management skills along with the ability to manage multiple tasks
• Ability to analyze/solve problems and work in a fast-paced environment
• Strong communication skills, specifically able to communicate via phone with insurance providers to receive needed information.
• Must be located in Indiana.

Competitive Pay

• Pay range, $19-22, depending on experience

Job Type: Part Time

• Salary: $19.00- $22.00 per hour

Schedule: 20-25 hours per week between our hours of operation which are Monday to Friday, 8am-430pm EST

Education:

• High school or equivalent (Required)

Experience:

• Billing: 1 year or more preferred

Work Location: Remote in Indiana

We are an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, national origin, disability, age, or any other status protected by applicable law.

Reasonable accommodations are available during the application and interview process. Applicants who require an accommodation may contact Human Resources at 765-661-9709 to make arrangements.

• Able to pass a criminal background check
• Be able to pass a drug screen