Patient Responsibility, VOB & Authorization Specialist

Socket.dev; Holmdel Township (NJ); On-site; USD 41,000 - 50,000; Full time

Benefits offered by this job

Hybrid work schedule

Health benefits

401(k) matching

Paid parental leave

Career development

Job summary

CentralReach is seeking an ABA Insurance & Billing Specialist to verify benefits, obtain pre-authorizations, and manage patient invoices for ABA therapy services delivered through the CentralReach platform. This hybrid role supports clients and providers with accurate coverage details and timely communication.

The ideal candidate has 2+ years in medical billing and insurance verification, strong collaboration skills, and the ability to navigate payer portals.

Qualifications

• 2+ years of insurance verification and authorization experience (ABA, Speech, OT, PT a plus).
• Deep understanding of insurance portals, payer policies and revenue cycle management.
• Strong communication and organizational skills.
• Adaptable and able to work in a fast-paced environment.

Responsibilities

• Generate and send patient invoices for copays, deductibles, and coinsurance.
• Verify insurance benefits and obtain prior authorizations for ABA services.
• Engage with clients via phone, email, and virtual meetings to resolve billing issues.
• Maintain knowledge of CentralReach workflows and payer requirements.

Skills

Insurance verification

Authorization processing

ABA billing knowledge

Communication skills

Job description

CentralReach is a leading provider of autism and IDD care software for Applied Behavior Analysis (ABA), multidisciplinary therapy, and special education. Trusted by more than 200,000 users, we enable therapy providers, educators, and employers to scale the way they deliver ABA and related therapies with innovative technology, market-leading industry expertise, and world-class customer satisfaction.

Join our amazing CR BillMax team, where we provide managed billing services to CentralReach customers, helping them optimize and expand their billing and collections for all the services they offer.

CR BillMax is looking for an experienced ABA Insurance & Billing Specialist who will be responsible for verifying insurance benefits and securing prior authorizations for organizations delivering ABA therapy and related services through the CentralReach platform. The ideal candidate possesses a deep understanding of insurance policies, strong communication skills, and experience in medical billing and authorizations.

#LI-HYBRID Base Salary Range $45,000 — $45,000 USD

Backed by Roper Technologies, Inc. (Nasdaq: ROP), and led by award-winning CEO Chris Sullens, CentralReach is entering an exciting phase of growth, innovation, and scale.

Recognized as one of the best places to work over 10 times by organizations such as Inc, Built In, and NJBIZ, our culture is centered around impact, inclusion, and flexibility.

As a hybrid company with collaborative offices in Ft. Lauderdale, FL; Holmdel, NJ; and Verona, Italy, we foster a workplace where top talent can thrive and make a real difference in the lives of those we serve.

We offer competitive compensation, comprehensive health benefits, generous PTO, 401(k) matching, and paid parental leave to our full-time employees.

Our team members also enjoy hybrid work schedules, career development support, wellness programs, and opportunities to give back through CR Cares, our community engagement initiative.

Key Accountabilities:

Patient Billing & Invoicing:

• Generate and send patient invoices for copays, deductibles, and coinsurance.
• Process patient payments and assist with payment plans when necessary.
• Address patient billing inquiries and resolve discrepancies.

Communication & Compliance:

• Engage with clients via phone, email, and virtual meetings.
• Maintain up-to-date knowledge of insurance portals, payer policies, and CentralReach workflows.
• Follow standardized workflows to support billing and revenue cycle processes.
• Perform other related duties as assigned.

Insurance Verification & Benefits Coordination:

• Verify insurance benefits and coverage for ABA therapy and ancillary services.
• Accurately document all verification details, including copays, deductibles, and coinsurance amounts.
• Communicate coverage details and authorization requirements to providers.

Prior Authorizations:

• Obtain and track prior authorizations for ABA and ancillary services.
• Follow up with insurance companies to expedite delays and resolve authorization issues.

Desired Skills and Experience:

• 2+ years of experience in insurance verification and authorization (ABA, Speech, OT, PT experience a plus).
• Strong understanding of insurance processes and revenue cycle management.
• Well-organized and able to manage multiple tasks efficiently.
• Confident and professional communicator, both written and verbal.
• Self-motivated with a customer-focused mindset.
• Adaptable and able to work in a fast-paced environment.
• Experience with ABA billing and revenue cycle management is a plus.