Remote ABA Billing Specialist
About the role
Hello ABA is seeking an experienced ABA Billing Specialist to manage the full billing cycle, including insurance verification, prior authorizations, claim submission, denial management, payment posting, and account reconciliation. The ideal candidate has hands-on experience with ABA billing, CentralReach, and Waystar, and is comfortable taking ownership of claims and authorizations from initial submission through final resolution.
Hello ABA provides compassionate, individualized ABA services designed to support both children and their families. We believe the autism care journey should feel collaborative, approachable, and supportive while delivering high-quality, evidence-based care tailored to each child's unique needs. We are looking for a billing professional with a strong understanding of ABA revenue cycle management who can confidently oversee claims, authorizations, and reimbursement processes from start to finish. The ideal candidate is detail-oriented, proactive, and experienced in ABA billing, with the ability to independently manage issues through resolution.
Responsibilities
- Verify insurance eligibility, benefits, and coverage details.
- Obtain, track, and manage prior authorizations.
- Maintain accurate payer, authorization, fee schedule, and client information within CentralReach.
- Submit claims through CentralReach and Waystar.
- Investigate and resolve claim denials, rejections, and payment discrepancies.
- Post and reconcile insurance payments, ERAs, EOBs, and client payments.
- Generate and manage patient responsibility invoices.
- Follow up on outstanding claims, unpaid balances, and authorization issues.
- Collaborate with scheduling, clinical, and administrative teams to ensure billing accuracy and timely reimbursement.
- Maintain accurate records and ensure compliance with payer requirements and company policies.
Requirements
- Prior ABA billing experience required.
- CentralReach experience required.
- Waystar experience required.
- Experience managing insurance authorizations, claim submissions, denials, EOBs, and ERAs.
- Strong knowledge of commercial insurance and Medicaid billing processes.
- Exceptional attention to detail and organizational skills.
- Ability to independently research, troubleshoot, and resolve billing issues.
- Strong communication and follow-up skills.
- Proficiency with Microsoft Office and billing software systems.