ABA Therapy Medical Billing Specialist

Posted 2025-08-15
Remote, USA Full Time Immediate Start
House of Hearts ABA is Seeking an ABA Therapy Medical Billing & Credentialing Specialist (Remote Position)

Job Title: ABA Therapy Medical Billing & Credentialing Specialist

Location: Remote

Employment Type: Full-Time

Job Description:

House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. The ideal candidate will have 7+ years of ABA-specific billing experience, handling both in-network and out-of-network claims, and must have extensive knowledge of the entire contracting and credentialing process. This role requires expertise in insurance verification, authorizations, claims processing, and provider enrollment.

Responsibilities:
• Process in-network and out-of-network claims efficiently and accurately.
• Obtain Verification of Benefits (VOBs) and ensure all coverage details are reviewed.
• 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.

Requirements:
• 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.

If you are a seasoned ABA billing and credentialing expert looking for a stable and rewarding role, we’d love to hear from you! Please apply with your resume and a brief cover letter outlining your experience. Apply tot his job
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