The Billing & Insurance Specialist is responsible for overseeing critical revenue cycle functions in partnership with a third-party Revenue Cycle Management (RCM) company. This role serves as the primary liaison between the organization and the RCM vendor, ensuring accurate authorization management, timely resolution of patient responsibility balances, and effective collections processes. The ideal candidate is detail-oriented, organized, and experienced in ABA or behavioral health billing workflows.
Qualifications
Required
2+ years of experience in medical billing, insurance, or revenue cycle management
Experience with ABA, behavioral health, or healthcare billing
Strong working knowledge of:
Insurance authorizations
Patient responsibility (deductibles, co-pays, coinsurance)
Collections workflows
Experience working with or overseeing a third-party billing/RCM company
Excellent attention to detail and organizational skills
Strong written and verbal communication skills
Ability to work independently in a remote environment
Preferred
Experience with ABA billing codes (CPT/HCPCS) and payer-specific ABA requirements
Familiarity with common ABA payers and authorization models
Experience using EMRs and billing platforms commonly used in ABA organizations
Work Environment & Schedule
Remote position
Part-time (hours to be determined based on organizational needs)
Flexible schedule with availability during standard business hours for collaboration
Core Competencies
Revenue cycle oversight
Insurance and authorization management
Problem-solving and follow-through
Professional communication with vendors and families
Confidentiality and HIPAA compliance
Billing and Insurance Specialist Benefits:
Competitive Rates with Performance Bonuses
Generous PTO and Paid Holidays
Flexible Schedules
Employee Referral Bonuses
Career Advancement Opportunities
Supportive and Collaborative Work Environment
Consistent Collaboration with Clinical Director
The chance to make a Real Difference in the lives of Individuals and Families