ABA MEDICAL BILLERS (APPLIED BEHAVORIAL HEALTH)
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Cliniqon is hiring ABA MEDICAL BILLERS.
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We are seeking a skilled and detail-oriented ABA Medical Biller to join our revenue cycle team. This role is responsible for ensuring accurate and timely billing for Applied Behavior Analysis (ABA) services, including claim submission, denial resolution, and payment posting. The ideal candidate will have a strong understanding of ABA billing guidelines and be proficient in using various billing platforms and payer portals.
Responsibilities
- Submit accurate and compliant claims for ABA therapy services using correct CPT, ICD-10, and HCPCS codes.
- Verify insurance benefits, authorizations, and eligibility for ABA treatment.
- Track, review, and follow up on unpaid or denied claims to ensure prompt reimbursement.
- Manage denial resolution, including identifying reasons for denials and taking appropriate corrective actions.
- Post payments from insurance payers and patients accurately and reconcile patient accounts.
- Communicate with insurance companies to resolve claim discrepancies or authorization issues.
- Collaborate with clinical and administrative staff to ensure accurate documentation and billing information.
- Maintain up-to-date knowledge of ABA billing regulations and payer-specific requirements.
- Generate reports related to accounts receivable, denials, and billing activity as needed.
- Uphold confidentiality and compliance with HIPAA and other regulatory standards.
- High school diploma or equivalent; Associate’s degree or higher preferred.
- Minimum of 1–2 years of medical billing experience, with a focus on ABA or behavioral health services.
- Strong understanding of ABA therapy billing requirements, coding, and insurance processes.
- Proficiency in billing software and platforms such as CentralReach, Office Ally, Kareo, Availity, or similar systems.
- Experience with electronic claim submissions and working with payer portals.
- Knowledge of CPT, ICD-10, and HCPCS coding for ABA services.
- Ability to manage multiple tasks with attention to detail and accuracy.
- Strong organizational, communication, and problem-solving skills.
- Ability to work independently and meet deadlines in a remote or office setting.
- Experience with Medicaid and commercial insurance billing for ABA services.
- Familiarity with denial management processes and A/R follow-up strategies.
- Experience generating and interpreting billing and revenue reports.
- HMO coverage
- Permanent work from home
- Fixed weekends off
- Annual Merit Increase
- Loyalty Bonus
- Company-provided assets
- Guaranteed competitive compensation package
Benefits
- Additional leave
- Health insurance
- Opportunities for promotion
- Paid training
- Pay raise
- Promotion to permanent employee
- Work from home
