We are seeking a detail-oriented Medical Biller and Cash Poster with specific experience in the Applied Behavior Analysis (ABA) field. This role is critical in ensuring our therapy providers are reimbursed accurately and timely so they can focus on what matters most: helping our clients thrive.

The ideal candidate understands the nuances of ABA billing, including authorization tracking, CPT codes like 97153 and 97155, and the complexities of various insurance payers.

Key Responsibilities

• Claims Management: Submit clean electronic and paper claims to insurance carriers.
• Cash Posting: Accurately post high-volume payments (ERAs and EOBs) to patient accounts.
• ABA Specialization: Manage authorizations and ensure billing aligns with specific ABA CPT codes and modifiers.
• Denial Management: Research and appeal denied claims; identify and resolve billing discrepancies.
• Reporting: Reconcile daily deposits and provide weekly reports on accounts receivable (AR) status.
• Communication: Coordinate with clinical staff regarding authorization updates and follow up with payers on outstanding balances.

Requirements

• Experience: Minimum 2+ years of medical billing experience, with at least 1 year specifically in an ABA therapy practice.
• Technical Skills: Proficiency in medical billing software (e.g., CentralReach, Rethink, or Kareo) and MS Excel.
• Knowledge: Deep understanding of EOBs, RCM (Revenue Cycle Management), and the "Prompt Pay" laws.
• Detail-Oriented: Ability to spot errors in high-volume data entry to prevent claim rejections.
• Communication: Professional verbal and written communication skills for interacting with insurance reps and families.