ABA Billing Specialist

Hope Center for Behavior Change; West Palm Beach (FL); On-site; USD 30,000 - 37,000; Full time

Benefits offered by this job

401k

PTO

Flexible Hours

Supplemental Health Benefits

Job summary

Hope Center for Behavior Change in West Palm Beach, FL is seeking a detail-oriented Billing Specialist for our ABA therapy practice. You will manage the full lifecycle of claims—from submission to final payment—to ensure therapists can focus on clinical care while you handle Florida insurance and Medicaid reimbursements.

Key duties include submitting claims (codes 97151, 97153, 97155, etc.), tracking authorizations, resolving denials, posting payments, and communicating with major payers such as

Qualifications

• ABA billing experience, 1–2+ years preferred or general medical billing.
• Proficiency in ABA platforms such as CentralReach, Portia, or Catalyst.
• Knowledge of Florida Medicaid portals and Florida insurance nuances.
• Strong understanding of EOBs, COB, and appeals process.

Responsibilities

• Submit claims electronically and on paper for ABA services (97151, 97153, 97155, etc.).
• Track and maintain authorizations to prevent denials.
• Research, appeal, and resolve denied or underpaid claims promptly.
• Post ERAs and patient payments into the PMs.
• Maintain professional relations with major Florida payers (BCBS, Aetna, UnitedHealthcare, Florida Medicaid).

Skills

ABA billing experience

Software proficiency

Florida Medicaid knowledge

COB & appeals process

Tools

CentralReach

Portia

Catalyst

Job description

Location: West Palm Beach, FL (On-site)

Reports To: Billing Manager / Clinic Director

Salary Range: $22.00 – $27.00 per hour (DOE)

Job Summary: We are seeking a detail-oriented Billing Specialist to join our ABA therapy practice. You will be responsible for the full lifecycle of claims—from initial submission to final payment. You’ll play a critical role in ensuring our therapists can focus on clinical care while you handle the complexities of Florida insurance and Medicaid reimbursements.

Key Responsibilities:

• Claims Submission: Accurately submit electronic and paper claims for ABA services (97151, 97153, 97155, etc.).
• Authorization Management: Track and maintain active authorizations to prevent \"rendered without auth\" denials.
• Denial Management: Research, appeal, and resolve denied or underpaid claims in a timely manner.
• Payment Posting: Accurately post ERAs and patient payments into the practice management system.
• Payer Communication: Maintain professional relationships with major Florida payers (BCBS, Aetna, UnitedHealthcare, and Florida Medicaid).

Required Qualifications:

• ABA Experience: Minimum 1–2 years of experience specifically in ABA Therapy billing (preferred) or general medical billing.
• Software Savvy: Proficiency in ABA platforms like CentralReach, Portia, or Catalyst.
• Local Knowledge: Experience navigating Florida Medicaid portals and Florida-specific insurance nuances.
• Skills: Strong understanding of EOBs, COB (Coordination of Benefits), and the appeals process.

Why Join Hope Center for Behavior Change?

• Competitive salary and benefits.
• A supportive, mission-driven environment helping children with autism.
• 401k, PTO, Flexible Hours, Supplemental Health Benefits.