Overview

An ABA company is seeking an experienced Medical Billing Specialist to join their team and manage their billing operations in-house.
This position will play a key role in handling all aspects of medical billing for the ABA services, including managing Single Case Agreements (SCA), benefits verification, authorization processes, and following up on claim denials. The ideal candidate will have extensive experience in medical billing, with a preference for experience in ABA billing. This is an in-office position, but is open to a hybrid arrangement for the right candidate.

Responsibilities:

• Manage the entire billing process by submitting accurate claims, ensuring proper coding, and following up to ensure timely reimbursement from insurance providers.
• Coordinate with insurance companies to secure and process Single Case Agreements (SCAs), ensuring all terms are accurately reflected in billing.
• Verify patient insurance benefits and eligibility, and obtain prior authorizations for ABA therapy services to ensure proper coverage.
• Investigate and resolve claim denials by appealing, correcting errors, and following up with insurance providers to ensure claims are paid promptly.

Skills required:

• High level of attention to detail to ensure all billing documents are accurate, claims are properly coded, and discrepancies are promptly addressed.
• Excellent problem-solving skills for resolving billing issues, working with insurance companies on claim denials, and communicating effectively with both patients and insurance providers.
• Strong understanding of medical billing processes, including claim submission, and payment posting, with a preference for experience in ABA billing.

Requirements:

• A minimum of 3 years of experience in medical billing, with a strong preference for candidates who have experience with ABA billing.
• Extensive knowledge and experience with Single Case Agreements (SCA), benefits verification, and authorization processes.

Location: Brooklyn, NY | Hours: Full-time | Salary: $100-120k | Job#889 |