Medical Biller - ABA Therapy focus

Key Responsibilities

• Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers
• Verify insurance eligibility and benefits for new and existing clients
• Track and follow up on unpaid or denied claims; initiate appeals as needed
• Manage authorizations, re-authorizations, and documentation requirements for ongoing services
• Reconcile payments, post EOBs, and generate client invoices as needed
• Maintain compliance with HIPAA, payer guidelines, and ABA‑specific billing codes (e.g., CPT 97151, 97153, 97155)
• Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations

Requirements

• 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services
• Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, Si...