FULL TIME: 9am-5pm EST
FULLY REMOTE
PAY: $1200-1300 USD
We are seeking a detail-oriented and highly organized Billing & Authorizations Specialist to join our growing ABA team. This role is responsible for managing insurance authorizations, submitting and following up on claims, verifying benefits, and ensuring services are authorized and billed accurately. The ideal candidate is proactive, analytical, and able to manage multiple priorities while maintaining excellent communication with insurance companies, providers, and internal teams.
Key Responsibilities
- Submit and track initial and ongoing insurance authorizations for ABA services.
- Monitor authorization expirations and request renewals before services are interrupted.
- Verify patient insurance eligibility, benefits, and coverage.
- Submit accurate insurance claims and ensure timely billing.
- Follow up on unpaid, denied, or rejected claims and work toward prompt resolution.
- Review Explanation of Benefits (EOBs) and identify payment discrepancies.
- Communicate with insurance companies regarding authorizations, claims, and reimbursement issues.
- Maintain accurate documentation of all authorization and billing activities.
- Work closely with clinical staff to obtain documentation required for authorizations.
- Ensure all billing complies with payer guidelines and company policies.
- Reconcile billing information and identify missing or incorrect documentation.
- Assist with payment posting and account reconciliation as needed.
- Generate reports related to authorizations, claims status, and outstanding balances.
- Stay current on payer requirements, ABA billing guidelines, and insurance updates.
- Perform other revenue cycle and administrative duties as assigned.
Qualifications
- Previous experience in medical billing, insurance authorizations, or revenue cycle management required.
- Experience working in an ABA, behavioral health, or healthcare setting strongly preferred.
- Knowledge of commercial insurance, Medicaid, and authorization processes.
- Familiarity with CPT codes, medical terminology, and healthcare billing practices.
- Excellent organizational and time management skills.
- Strong attention to detail and accuracy.
- Ability to prioritize multiple tasks and meet deadlines.
- Excellent written and verbal communication skills.
- Proficiency with Microsoft Office and electronic health record (EHR) or practice management systems.
Preferred Skills
- Experience with ABA billing software or electronic medical record systems.
- Knowledge of denial management and appeals processes.
- Strong analytical and problem-solving skills.
- Ability to work independently while collaborating effectively with clinical and administrative teams.
- Experience maintaining payer portals and insurance documentation.
What We're Looking For
- Highly organized and dependable.
- Proactive in identifying and resolving issues before they impact billing or patient care.
- Detail-oriented with a commitment to accuracy and compliance.
- Strong communicator who works well with both internal teams and insurance representatives.
- Someone who thrives in a fast-paced environment and is committed to supporting high-quality care through efficient billing and authorization processes.
Job Type: Full-time
Pay: $20,000.00 - $23,000.00 per month
Application Question(s):
- What is your level of English? (B1, B2, C1, C2, Native)
- Have you done billing and authorizations for a US company before? If so, which company and for how long?
Work Location: Remote
