ABA Therapy Medical Billing Specialist

House of Hearts ABA is Seeking an ABA Therapy Medical Billing & Credentialing Specialist (Remote Position) Job Title: ABA Therapy Medical Billing & Credentialing Specialist Location: Remote Employment Type: Full-Time Job Description: House of Hearts ABA is seeking a highly experienced ABA Therapy Medical Billing & Credentialing Specialist to join our team full-time. The ideal candidate will have 7+ years of ABA-specific billing experience, handling both in-network and out-of-network claims, and must have extensive knowledge of the entire contracting and credentialing process. This role requires expertise in insurance verification, authorizations, claims processing, and provider enrollment. 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. If you are a seasoned ABA billing and credentialing expert looking for a stable and rewarding role, we’d love to hear from you! Please apply with your resume and a brief cover letter outlining your experience. Apply tot his job