Medical Biller - ABA Therapy focus
Metro Manila, PhilippinesRemoteFull-time
AI Summary
Medical Biller specializing in ABA therapy focusing on accurate claim submissions, insurance verification, denials follow-up, and revenue cycle management for remote operations.
About this role
- 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, SimplePractice)
- In-depth knowledge of ABA billing codes, modifiers, and payer-specific requirements
- Strong organizational and follow-up skills
- Familiarity with Medicaid and commercial insurance billing processes
- High attention to detail and ability to manage multiple accounts
Preferred Qualifications:
- Experience with CentralReach or similar ABA-specific EMR platforms
- Understanding of insurance credentialing and contracting (a plus)
- Bilingual (English/Spanish) is a bonus but not required
Skills
ABA Billing Codes (CPT 97151, 97153, 97155)Authorizations ManagementCharges PostingClaims SubmissionClearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice)EOB ReconciliationHIPAA ComplianceInsurance Eligibility VerificationMedicaid And Commercial Insurance BillingMedical Billing SoftwarePayer Follow-upRevenue Cycle Management