Medical Billing Specialist

ABA Therapy Medical Billing Specialist

Job Summary:

House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. As a critical member of our billing team, you will be responsible for handling both in-network and out-of-network claims , ensuring accurate and efficient billing processes, and maintaining compliance with insurance policies and industry regulations.

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

What We Offer:

• Competitive $20 - $28 Hourly based on experience

• Opportunity to work for a reputable organization making a difference in the lives of children with autism

Job Type: Full-Time

Location: Hollywood, Florida (Remote)

Minimum Years of Experience: 6

Level of Education: Bachelor's Degree

Benefits: n/a