Medical Biller

2 days ago

Manila, National Capital Region, Philippines Remote VA Full time

Key Responsibilities:

  • Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers
  • Verify insurance eligibility and benefits for new and existing clients
  • Track and follow up on unpaid or denied claims; initiate appeals as needed
  • Manage authorizations, re-authorizations, and documentation requirements for ongoing services
  • Reconcile payments, post EOBs, and generate client invoices as needed
  • Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155)
  • Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations

Requirements:

  • 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services
  • Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice)
  • In-depth knowledge of ABA billing codes, modifiers, and payer-specific requirements
  • Strong organizational and follow-up skills
  • Familiarity with Medicaid and commercial insurance billing processes
  • High attention to detail and ability to manage multiple accounts

Preferred Qualifications:

  • Experience with CentralReach or similar ABA-specific EMR platforms
  • Understanding of insurance credentialing and contracting (a plus)
  • Bilingual (English/Spanish) is a bonus but not required

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