Medical Billing Specialist (ABA)

TL;DR

Medical Billing Specialist (ABA): Submit and manage accurate insurance claims for ABA services, including eligibility verification, authorizations, follow-ups, appeals, and billing documentation with an accent on revenue cycle compliance and payer-specific requirements. Focus on HIPAA adherence, correct ABA billing codes (CPT 97151/97153/97155), and resolving billing issues with BCBAs and administrative staff.

Location: Metro Manila, Philippines; Davao Region, Philippines; Dominican Republic

Company

hirify.global provides remote virtual assistant services.

What you will do

• Submit accurate and timely ABA service claims to private insurance, Medicaid, and other payers
• Verify insurance eligibility and benefits for new and existing clients
• Track unpaid or denied claims, follow up, and initiate appeals as needed
• Manage authorizations, re-authorizations, and required documentation for ongoing services
• Reconcile payments, post EOBs, and generate client invoices
• Maintain HIPAA compliance and payer guideline compliance using ABA billing codes (CPT 97151, 97153, 97155)

Requirements

• 2+ years of medical billing experience with a strong focus on ABA or behavioral health services
• Proficiency with 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 with high attention to detail across multiple accounts
• Familiarity with Medicaid and commercial insurance billing processes

Nice to have

• Experience with CentralReach or similar ABA-specific EMR platforms
• Understanding of insurance credentialing and contracting
• Bilingual English/Spanish

Culture & Benefits

• Remote work
• Collaboration with BCBAs, administrative staff, and families to resolve billing issues