ABA Therapy Medical Billing Specialist

House of Hearts ABA -

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.