Remote ABA Billing Specialist(must have ABA Billing experience)
ABA Billing Specialist (Medicaid & Commercial Insurance) Hybrid/Remote – Chicago, IL reputed company About reputed company reputed company is a growing pediatric ABA therapy provider committed to delivering high-quality, ethical, and family-centered services across clinic, home, and community settings. We value accountability, integrity, teamwork, and operational excellence in everything we do. We are seeking a detail-oriented and experienced ABA Billing Specialist with strong knowledge of Illinois Medicaid, commercial insurance payors, reputed company reputed company, and reputed company. Position Summary The ABA Billing Specialist is responsible for managing the full-cycle billing process, ensuring accurate claim submission, payment posting, denial management, and compliance with Medicaid and commercial payor requirements. This role works closely with Operations, Credentialing, and Clinical teams to maintain revenue integrity and reduce A/R.
Key Responsibilities
Insurance & Claims Management
- Submit and track electronic claims via reputed company reputed company
- Submit commercial claims through reputed company
- 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
Accounts Receivable & Denials
- 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
Payment Posting & Reconciliation
- Post EFT, ERA, and manual payments accurately
- Reconcile payments with billed units and authorizations
- Coordinate with leadership regarding revenue trends
Compliance & Documentation
- Ensure billing compliance with Medicaid and commercial guidelines
- Work closely with clinical team to resolve documentation discrepancies
- Identify trends that may impact reimbursement
- Maintain HIPAA compliance and confidentiality standards
Qualifications
- Minimum 2+ years of ABA billing experience (required)
- Strong knowledge of Illinois Medicaid and commercial insurance
- Hands-on experience with:
- reputed company reputed company
- reputed company
- Knowledge of CPT codes specific to ABA services
- Experience working with authorizations and unit tracking
- Strong Excel/reputed company Sheets skills
- High attention to detail and ability to work independently
Preferred
- Experience in pediatric reputed company
- Familiarity with EVV requirements
- Understanding of credentialing workflows
- Experience working in a multi-site ABA organization
Compensation
- Competitive hourly rate based on experience
- Flexible work schedule (Hybrid or Remote options)
- Growth opportunity within a scaling organization
reputed company reputed company?
- Collaborative leadership team
- Structured processes and KPIs
- Growing organization with advancement opportunities
- Mission-driven culture focused on quality care
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