ABA Billing Specialist / Insurance Coordinator

apartmentCT Prime-Solutions Virtual Assistance Services placeCebu City scheduleFull-time calendar_month 
We are seeking a dependable and detail-oriented ABA Billing Specialist to join our team. The ideal candidate will have experience in Applied Behavior Analysis (ABA) billing and insurance processes, strong problem-solving skills, and the ability to adapt in a fast-paced environment.

This role requires someone who understands the complexities of insurance authorizations, claims management, and revenue cycle operations while maintaining a commitment to accuracy, accountability, and exceptional support for our clients and team.

Key Responsibilities
  • Manage all aspects of ABA billing, including claim submission, payment posting, claim follow-up, and denial resolution.
  • Verify insurance benefits and eligibility for new and existing clients.
  • Obtain, manage, and track insurance authorizations to ensure uninterrupted services.
  • Communicate directly with insurance companies to resolve billing discrepancies, denials, and payment issues.
  • Monitor accounts receivable and proactively follow up on outstanding claims and balances.
  • Maintain accurate billing records and documentation in accordance with payer requirements and regulatory standards.
  • Collaborate with clinical, administrative, and leadership teams to ensure accurate billing and operational efficiency.
  • Stay current on insurance regulations, payer requirements, and ABA industry best practices.
  • Assist with process improvements and support other operational needs as the organization grows.
Qualifications
  • 2–5 years of experience in ABA billing, medical billing, healthcare revenue cycle management, or a related field.
  • Strong knowledge of commercial insurance, Medicaid, authorizations, claims processing, and reimbursement procedures.
  • Experience working with ABA therapy providers or behavioral health organizations is preferred.
  • Proficiency with billing platforms, EHR systems, and Microsoft Office applications.
  • Excellent organizational skills and strong attention to detail.
  • Strong communication, problem-solving, and follow-through abilities.
  • Ability to manage multiple priorities and adapt to changing business needs. - Self-motivated and capable of working independently with minimal supervision.

What We're Looking For The ideal candidate is:

  • Highly reliable and accountable.
  • Hardworking, dedicated, and committed to delivering accurate, timely work.
  • Adaptable and willing to support different areas of the organization when needed.
  • Proactive in identifying and resolving issues.
  • A strong team player who communicates effectively and works collaboratively.
  • Someone we can trust to take ownership of responsibilities and consistently follow through.
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