The ABA Medical Biller is responsible for accurately processing claims for ABA therapy services, ensuring timely reimbursement from insurance payers, Medicaid, and private clients. This role requires a strong understanding of medical billing, especially in behavioral health and ABA services, including CPT codes, modifiers, and payer-specific policies.

 Key Responsibilities:

• Submit clean insurance claims electronically and manually for ABA services rendered.
• Verify client authorization eligibility.
• Ensure accuracy in billing codes (CPT codes such as 97151, 97153, 97155, etc.) and modifiers.
• Monitor and manage accounts receivable, including following up on unpaid or denied claims.
• Respond to insurance inquiries and resolve claim denials or rejections.
• Communicate with clinical staff to verify documentation compliance and session accuracy.
• Post payments, adjustments, and denials in the billing system.
• Handle billing-related questions from clients and families.
• Maintain confidentiality and comply with HIPAA regulations.
• Assist in audits and compliance checks related to billing practices.
• Stay up-to-date on payer requirements, Medicaid policies, and ABA billing changes.

Benefits:

• Remote Position
• $30 phone reimbursement
• Earned PTO up to 70hrs
• Aflac Insurance
• Group Life Insurance
• Group Long term disability
• Simple IRA
• 9 Holiday's off

 Qualifications:

• High school diploma or equivalent required; associate’s or bachelor’s degree preferred.
• 2+ years of medical billing experience, preferably in ABA or behavioral health.
• Knowledge of ABA billing codes, modifiers, and insurance guidelines.
• Familiarity with EHR and billing platforms (e.g., Central Reach) 
• Strong attention to detail and organizational skills.
• Ability to manage deadlines and multitask in a fast-paced environment.
• Excellent written and verbal communication skills.
• Understanding of HIPAA and medical billing compliance standards.

 Preferred Qualifications:

• Experience working with Medicaid and major commercial payers.
• Certification in medical billing or coding (e.g., CMRS, CPB, CPC).
• Prior experience in an ABA practice or behavioral health setting.