Job Summary

We are seeking an experienced and detail-oriented ABA Billing & Administrative Specialist to join our growing team. The ideal candidate must have hands-on experience with Central Reach and Motivity, HIPAA as well as experience working with an Applied Behavior Analysis (ABA) agency. This role is responsible for managing the full ABA billing cycle, including insurance claims, authorizations, payment reconciliation, client documentation, and administrative support to ensure accurate and timely billing operations.

Key Responsibilities

• Manage day-to-day ABA billing using CentralReach.
• Prepare, review, and submit insurance claims accurately and on time.
• Review therapy sessions and clinical documentation to ensure services are ready for billing.
• Track, investigate, and resolve rejected or denied insurance claims.
• Follow up on outstanding claims, unpaid balances, and accounts receivable.
• Verify patient insurance eligibility, benefits, and coverage.
• Monitor client authorizations, approved service hours, and authorization expiration dates.
• Ensure billing accurately aligns with approved authorizations and services rendered.
• Review CPT codes, billing units, and service information for accuracy and compliance.
• Post insurance and client payments and perform payment reconciliation.
• Maintain accurate client, billing, and insurance records within CentralReach.
• Utilize Motivity to support clinical documentation and ABA data workflows.
• Generate billing, financial, and administrative reports as required.
• Provide administrative and operational support for other ABA back-office functions.

Qualifications (Prefered)

• Experience in ABA billing 
• Hands-on experience using Central Reach and Motivity 
• Experience with HIPAA regulations and healthcare billing compliance.
• Experience working for an ABA therapy agency or behavioral health organization.
• Strong knowledge of insurance claims processing, denials management, accounts receivable, payment posting, and reconciliation.
• Familiarity to ABA authorizations,  clinical documentation, CPT codes, billing units, and insurance billing procedures.
• Excellent attention to detail and accuracy and strong organizational, analytical, and follow-up skills.
• Excellent written and verbal English communication skills.
• Ability to work independently, prioritize tasks, and meet deadlines in a full-time remote environment.
• Experience generating billing, productivity, and financial reports