ABA Medical Billing Specialist - Temporary Contractor

This is a temporary independent contractor assignment anticipated to last approximately three months. The project duration may be shortened or extended depending on business needs, workload, and project completion.** Pay: $30 - $35 per hour, based on experience Job Type: Independent Contractor (1099), Temporary Assignment Duration: Approximately 3 months Schedule: Approximately 40 hours per week, Monday through Friday, during standard business hours Work Setting: Remote About The Opportunity 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. Responsibilities: This project includes established expectations for daily claim submission volume and clean-claim accuracy. Specific productivity and quality benchmarks will be discussed during the interview process. Billing and Claims Submission Review, validate, and submit ABA therapy claims using CentralReach and applicable clearinghouse systemsProcess assigned billing backlog while meeting established productivity expectationsVerify client demographics, authorizations, provider credentials, CPT codes, units, dates of service, and place-of-service requirementsIdentify documentation issues that prevent claims from being submittedCoordinate with BCBAs, Clinical Directors, and other providers to obtain necessary documentation corrections and addendumsReview claims for payer-specific billing requirements before submissionHelp prevent duplicate billing and authorization utilization errorsMaintain accurate billing records and supporting documentationFollow HIPAA and organizational privacy and security requirements Claims Resolution Review rejected, held, or otherwise unsubmitted claimsResearch payer requirements and claim rejection reasonsCorrect billing errors and resubmit claims when appropriateIdentify and escalate recurring billing barriers or trendsDocument follow-up activity and claim resolutions accurately Reporting and Communication Track daily claim submission volume and backlog reduction progressProvide regular project status updates to Revenue Cycle leadershipCommunicate professionally with providers regarding missing or incomplete documentationParticipate in scheduled project meetings as needed Requirements Required Qualifications At least 3 years of medical billing experienceAt least 2 years of ABA therapy billing experienceExperience with CentralReach billing functionsStrong knowledge of ABA CPT codes and payer billing requirementsExperience using Waystar or a comparable healthcare clearinghouseAbility to review and interpret EOBs, remittance advice, payer communications, and claim rejectionsExperience managing high-volume claim submission workloadsStrong attention to detail and billing accuracyStrong organizational and time-management skillsAbility to work independently and consistently meet established productivity expectationsMust have reliable high-speed internet access and maintain a secure, professional remote work environment appropriate for handling protected health information Preferred Qualifications Pediatric healthcare billing experienceExperience reducing billing backlogs or resolving aged revenueKnowledge of commercial insurance, Medicaid, and managed care billing requirements for ABA servicesAdvanced Microsoft Excel and reporting skills Benefits Remote workCompetitive hourly compensationApproximately 40 hours per weekMonday through Friday scheduleStandard business hoursNo regular evenings or weekendsCompany-provided laptop and required systems accessTraining on internal billing workflows and proceduresConsistent project-based workloadOpportunity to work on a focused ABA revenue cycle projectCollaboration with experienced Revenue Cycle and clinical teams Equipment and Systems Opal Autism Centers will provide: Company-issued laptopSecure access to CentralReach and Clearinghouse Access to applicable clearinghouse platforms and payer portalsMicrosoft Outlook, Teams, and other required communication toolsTraining on internal billing workflows and proceduresThe contractor must have reliable high-speed internet access and maintain a secure, professional remote work environment appropriate for handling protected health information