Hybrid RCM Associate: ABA Billing & Claims Specialist

Alongside ABA; Placentia (CA); Hybrid; USD 34,000 - 39,000; Full time

Job summary

Alongside ABA is an Applied Behavior Analysis intervention provider focused on delivering quality care to individuals with developmental delays. The RCM Associate manages billing for ABA services, ensuring accuracy and compliance.

This role requires prior medical billing experience, knowledge of insurance verification and claims processing, and a collaborative approach within a hybrid schedule in CA. The team supports professional growth and values every contribution while ensuring HIPAA

Qualifications

• Experience in medical billing is required.
• Strong understanding of insurance verification and claims processing is required.
• Hybrid work schedule; ability to collaborate with clinical staff and billing team.

Responsibilities

• Manage the billing processes for ABA therapy services provided to school districts and home clients, ensuring accuracy in claims submission, adherence to insurance and funding requirements, and timely invoicing.
• Prepare and submit accurate claims for ABA service to insurance companies and other payers in a timely manner.
• Verify insurance coverage and benefits for new and existing clients.
• Follow up on outstanding claims, investigate denials, and resolve billing discrepancies.
• Reconcile patient accounts, process payments, and generate billing reports.
• Maintain up-to-date knowledge of insurance policies, regulations, and billing codes related to ABA services.
• Collaborate with clinical staff to ensure proper documentation for billing purposes.
• Provide excellent customer service to clients regarding billing inquiries and account statuses.
• Ensure compliance with HIPAA and other relevant laws and regulations.

Skills

Medical billing

Insurance verification

Claims processing

Job description

Alongside ABA is an Applied Behavior Analysis intervention provider focused on delivering quality care to individuals with developmental delays. The RCM Associate manages billing for ABA services, ensuring accuracy and compliance.

This role requires prior medical billing experience, knowledge of insurance verification and claims processing, and a collaborative approach within a hybrid schedule in CA. The team supports professional growth and values every contribution while ensuring HIPAA