Job Title: ABA Claims Specialist Job Type: Full-Time, Remote Working Hours: US Hours (9am-5pm EST) Salary: South African Rand (ZAR) Key Responsibilities Prepare, submit, and track insurance claims for Applied Behavior Analysis (ABA) services. Review claims for accuracy and completeness prior to submission. Follow up on outstanding, rejected, or denied claims with insurance providers. Investigate and resolve claim discrepancies, denials, and payment issues. Work closely with billing, scheduling, and clinical teams to ensure services are billed correctly. Verify client insurance information and ensure authorizations align with billed services. Maintain accurate records of claims, payments, and correspondence with payers. Ensure compliance with payer requirements, company policies, and healthcare billing regulations. Provide regular updates and reports on claim status and reimbursement trends. Qualifications Previous experience in medical billing or claims processing, preferably in an ABA or behavioral health setting. Strong understanding of insurance claims processes and payer requirements. Experience working with billing systems and electronic health records (EHR). Excellent attention to detail and problem‑solving skills. Strong organizational and time‑management abilities. Ability to communicate effectively with insurance companies and internal teams. Knowledge of CPT codes and healthcare billing practices is preferred. Job Requirements Comfortable working U.S. hours Remote work from home #J-18808-Ljbffr
Credentialing Manager (Aba)
REWORKS SOLUTIONS
workfromhome, workfromhome
Published 14 days ago
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