ABA Medical Billing Specialist - Temporary Contractor

Opal Autism

Northern (KY)

Hybrid

USD 41,000 - 48,000

Full time

5 days ago
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Benefits offered by this job

Remote work
Competitive hourly compensation
Company‑provided laptop and systems

Job summary

Opal Autism Centers is seeking an experienced ABA Medical Billing Specialist for a temporary contractor role focused on reducing billing backlog and expediting claim submissions. You will work with the Revenue Cycle team to review documentation, fix issues, and submit accurate claims.

This approximately three-month assignment requires independent work, strong ABA billing knowledge, and the ability to manage a high-volume workload from a secure remote environment.

Qualifications

  • 3+ years of medical billing experience.
  • 2+ years of ABA billing experience.
  • Experience with CentralReach billing functions.
  • Strong knowledge of ABA CPT codes and payer billing requirements.
  • Experience using Waystar or a comparable healthcare clearinghouse.
  • Ability to review and interpret EOBs, remittance advice, payer communications, and claim rejections.
  • Experience managing high-volume claim submission workloads.
  • Excellent attention to detail and billing accuracy.
  • Excellent organizational and time-management skills.
  • Ability to work independently and maintain a secure remote work environment.

Responsibilities

  • Review, validate, and submit ABA therapy claims using CentralReach and applicable clearinghouse systems.
  • Process billing backlog while meeting productivity expectations.
  • Verify client demographics, authorizations, provider credentials, CPT codes, units, dates of service, and place-of-service requirements.
  • Identify documentation issues that prevent claims from being submitted.
  • Coordinate with BCBAs, Clinical Directors, and other providers for corrections and addendums.
  • Review claims for payer-specific billing requirements before submission.
  • Help prevent duplicate billing and authorization utilization errors.
  • Maintain accurate billing records and supporting documentation.
  • Follow HIPAA and organizational privacy and security requirements.
  • Review rejected, held, or unsubmitted claims and resubmit as needed.
  • Document follow-up activity and claim resolutions accurately.

Skills

Medical billing
ABA billing
High-volume workload management
EOB interpretation
Payer communications

Tools

CentralReach
Waystar

Job description

ABA Medical Billing Specialist - Temporary Contractor

**This is a temporary independent contractor assignment anticipated to last approximately three months. The project duration may be shortened or extended depending on business needs, workload, and project completion.**

Pay: $30 - $35 per hour, based on experience

Job Type: Independent Contractor (1099), Temporary Assignment

Duration: Approximately 3 months

Schedule: Approximately 40 hours per week, Monday through Friday, during standard business hours

Work Setting: Remote

About the Opportunity

Opal Autism Centers is seeking an experienced ABA Medical Billing Specialist for a temporary revenue cycle project focused on reducing billing backlog and accelerating claim submissions.

This approximately three-month contractor assignment will work closely with our Revenue Cycle team, clinical providers, and operational leaders to review billing documentation, resolve submission barriers, obtain necessary corrections or addendums, and submit accurate claims.

We are looking for someone with substantial ABA billing experience who can work independently, manage a high-volume workload, and maintain strong billing accuracy.

Responsibilities

This project includes established expectations for daily claim submission volume and clean-claim accuracy. Specific productivity and quality benchmarks will be discussed during the interview process.

Billing and Claims Submission
  • Review, validate, and submit ABA therapy claims using CentralReach and applicable clearinghouse systems.
  • Process assigned billing backlog while meeting established productivity expectations.
  • Verify client demographics, authorizations, provider credentials, CPT codes, units, dates of service, and place-of-service requirements.
  • Identify documentation issues that prevent claims from being submitted.
  • Coordinate with BCBAs, Clinical Directors, and other providers to obtain necessary documentation corrections and addendums.
  • Review claims for payer-specific billing requirements before submission.
  • Help prevent duplicate billing and authorization utilization errors.
  • Maintain accurate billing records and supporting documentation.
  • Follow HIPAA and organizational privacy and security requirements.
Claims Resolution
  • Review rejected, held, or otherwise unsubmitted claims.
  • Research payer requirements and claim rejection reasons.
  • Correct billing errors and resubmit claims when appropriate.
  • Identify and elevate recurring billing barriers or trends.
  • Document follow‑up activity and claim resolutions accurately.
Reporting and Communication
  • Track daily claim submission volume and backlog reduction progress.
  • Provide regular project status updates to Revenue Cycle leadership.
  • Communicate professionally with providers regarding missing or incomplete documentation.
  • Participate in scheduled project meetings as needed.
Required Qualifications
  • At least 3 years of medical billing experience.
  • At least 2 years of ABA therapy billing experience.
  • Experience with CentralReach billing functions.
  • Strong knowledge of ABA CPT codes and payer billing requirements.
  • Experience using Waystar or a comparable healthcare clearinghouse.
  • Ability to review and interpret EOBs, remittance advice, payer communications, and claim rejections.
  • Experience managing high-volume claim submission workloads.
  • Strong attention to detail and billing accuracy.
  • Strong organizational and time‑management skills.
  • Ability to work independently and consistently meet established productivity expectations.
  • Must have reliable high‑speed internet access and maintain a secure, professional remote work environment appropriate for handling protected health information.
Preferred Qualifications
  • Pediatric healthcare billing experience.
  • Experience reducing billing backlogs or resolving aged revenue.
  • Knowledge of commercial insurance, Medicaid, and managed care billing requirements for ABA services.
  • Advanced Microsoft Excel and reporting skills.
Benefits
  • Remote work
  • Competitive hourly compensation
  • Approximately 40 hours per week
  • Monday through Friday schedule
  • Standard business hours
  • No regular evenings or weekends
  • Company‑provided laptop and required systems access
  • Training on internal billing workflows and procedures
  • Consistent project‑based workload
  • Opportunity to work on a focused ABA revenue cycle project
  • Collaboration with experienced Revenue Cycle and clinical teams
Equipment and Systems
  • Company‑issued laptop.
  • Secure access to CentralReach and Clearinghouse
  • Access to applicable clearinghouse platforms and payer portals.
  • Microsoft Outlook, Teams, and other required communication tools.
  • Training on internal billing workflows and procedures.

**The contractor must have reliable high-speed internet access and maintain a secure, professional remote work environment appropriate for handling protected health information.**

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