Remote ABA Billing & Credentialing Specialist

House of Hearts ABA; Town of Florida (NY); Remote; USD 28,000 - 39,000; Full time

Benefits offered by this job

Competitive hourly pay

Remote work option

Job summary

House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. This role handles in-network and out-of-network claims, verifies benefits, and manages prior authorizations and SCAs to enroll providers with insurance networks.

The position requires 7+ years of ABA-specific medical billing and credentialing experience, with strong knowledge of insurance contracts and portals.

Qualifications

• 7+ years of ABA-specific medical billing and credentialing experience (Required).
• Proven expertise in insurance contracting and credentialing processes.
• Strong understanding of insurance verification, authorizations, and claim submissions.
• Experience working with major insurance portals and handling SCAs.
• Ability to work independently and manage multiple tasks efficiently.
• Strong problem-solving skills and attention to detail.

Responsibilities

• Process in-network and out-of-network claims efficiently and accurately.
• Obtain Verification of Benefits (VOBs) and review coverage details.
• Manage prior authorizations for ABA therapy services.
• Handle Single Case Agreements (SCAs) and negotiate terms with insurance providers.
• Submit insurance contracts and manage the entire credentialing and contracting process to enroll providers with insurance networks.
• Coordinate all front-desk billing tasks, including managing various insurance portals and direct calls to payers.
• Track and follow up on outstanding claims to ensure timely payment.
• Maintain compliance with insurance policies, coding requirements, and industry regulations.

Skills

ABA billing

Credentialing

Insurance contracts

VOB verification

Prior authorizations

SCAs

Claim submissions

Multi-tasking

Detail-oriented

Communication

Education

Bachelor's Degree

Job description

House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. This role handles in-network and out-of-network claims, verifies benefits, and manages prior authorizations and SCAs to enroll providers with insurance networks.

The position requires 7+ years of ABA-specific medical billing and credentialing experience, with strong knowledge of insurance contracts and portals.