ABA Medical Billing Specialist - Temporary Contractor

Opal Autism Centers

2d•$30 - $35•Remote

About The Position

Opal Autism Centers is seeking an experienced ABA Medical Billing Specialist for a temporary revenue cycle project focused on reducing billing backlog and accelerating claim submissions. This approximately three-month contractor assignment will work closely with our Revenue Cycle team, clinical providers, and operational leaders to review billing documentation, resolve submission barriers, obtain necessary corrections or addendums, and submit accurate claims. We are looking for someone with substantial ABA billing experience who can work independently, manage a high-volume workload, and maintain strong billing accuracy.

Requirements

At least 3 years of medical billing experience.
At least 2 years of ABA therapy billing experience.
Experience with CentralReach billing functions.
Strong knowledge of ABA CPT codes and payer billing requirements.
Experience using Waystar or a comparable healthcare clearinghouse.
Ability to review and interpret EOBs, remittance advice, payer communications, and claim rejections.
Experience managing high-volume claim submission workloads.
Strong attention to detail and billing accuracy.
Strong organizational and time-management skills.
Ability to work independently and consistently meet established productivity expectations.
Must have reliable high-speed internet access and maintain a secure, professional remote work environment appropriate for handling protected health information.

Nice To Haves

Pediatric healthcare billing experience.
Experience reducing billing backlogs or resolving aged revenue.
Knowledge of commercial insurance, Medicaid, and managed care billing requirements for ABA services.
Advanced Microsoft Excel and reporting skills.

Responsibilities

Review, validate, and submit ABA therapy claims using CentralReach and applicable clearinghouse systems.
Process assigned billing backlog while meeting established productivity expectations.
Verify client demographics, authorizations, provider credentials, CPT codes, units, dates of service, and place-of-service requirements.
Identify documentation issues that prevent claims from being submitted.
Coordinate with BCBAs, Clinical Directors, and other providers to obtain necessary documentation corrections and addendums.
Review claims for payer-specific billing requirements before submission.
Help prevent duplicate billing and authorization utilization errors.
Maintain accurate billing records and supporting documentation.
Follow HIPAA and organizational privacy and security requirements.
Review rejected, held, or otherwise unsubmitted claims.
Research payer requirements and claim rejection reasons.
Correct billing errors and resubmit claims when appropriate.
Identify and escalate recurring billing barriers or trends.
Document follow-up activity and claim resolutions accurately.
Track daily claim submission volume and backlog reduction progress.
Provide regular project status updates to Revenue Cycle leadership.
Communicate professionally with providers regarding missing or incomplete documentation.
Participate in scheduled project meetings as needed.