Hybrid ABA Billing Specialist, ABA Billing Experience

Posted 14 hours ago

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About the role

  • ABA Billing Specialist responsible for managing billing processes for Medicaid and commercial insurance at Colorful Minds ABA. Ensuring compliance and accurate claims submission, processing, and management.

Responsibilities

  • Submit and track electronic claims via Rethink Behavioral Health
  • Submit commercial claims through Tebra
  • Process Illinois Medicaid claims (including MCOs)
  • Verify authorizations, units, and service codes (97151, 97153, 97155, 97156, etc.)
  • Ensure claims align with treatment authorizations and session notes
  • Monitor aging reports and maintain A/R within company benchmarks
  • Investigate and resolve denials, rejections, and underpayments
  • Submit corrected claims and appeals as needed
  • Follow up with payors regarding outstanding balances
  • Post EFT, ERA, and manual payments accurately
  • Reconcile payments with billed units and authorizations
  • Coordinate with leadership regarding revenue trends
  • Ensure billing compliance with Medicaid and commercial guidelines
  • Work closely with the clinical team to resolve documentation discrepancies
  • Identify trends that may impact reimbursement
  • Maintain HIPAA compliance and confidentiality standards

Requirements

  • Minimum 2+ years of ABA billing experience (required)
  • Strong knowledge of Illinois Medicaid and commercial insurance
  • Hands-on experience with: Rethink Behavioral Health, Tebra
  • Knowledge of CPT codes specific to ABA services
  • Experience working with authorizations and unit tracking
  • Strong Excel/Google Sheets skills
  • High attention to detail and ability to work independently
  • Preferred Experience in pediatric behavioral health
  • Familiarity with EVV requirements
  • Understanding of credentialing workflows
  • Experience working in a multi-site ABA organization

Benefits

  • Competitive hourly rate based on experience
  • Flexible work schedule (Hybrid or Remote options)
  • Growth opportunity within a scaling organization
  • Collaborative leadership team
  • Structured processes and KPIs

Job title

ABA Billing Specialist, ABA Billing Experience

Job type

Experience level

JuniorMid level

Salary

Not specified

Degree requirement

No Education Requirement

Location requirements

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