ABA Claims Specialist

Job Title: ABA Claims Specialist

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Key Responsibilities

• Prepare, submit, and track insurance claims for Applied Behavior Analysis (ABA) services.
• Review claims for accuracy and completeness prior to submission.
• Follow up on outstanding, rejected, or denied claims with insurance providers.
• Investigate and resolve claim discrepancies, denials, and payment issues.
• Work closely with billing, scheduling, and clinical teams to ensure services are billed correctly.
• Verify client insurance information and ensure authorizations align with billed services.
• Maintain accurate records of claims, payments, and correspondence with payers.
• Ensure compliance with payer requirements, company policies, and healthcare billing regulations.
• Provide regular updates and reports on claim status and reimbursement trends.

Requirements

• Previous experience in medical billing or claims processing, preferably in an ABA or behavioral health setting.
• Strong understanding of insurance claims processes and payer requirements.
• Experience working with billing systems and electronic health records (EHR).
• Excellent attention to detail and problem-solving skills.
• Strong organizational and time-management abilities.
• Ability to communicate effectively with insurance companies and internal teams.
• Knowledge of CPT codes and healthcare billing practices is preferred.

Benefits

1. Comfortable working U.S. hours
2. Remote work from home

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