Billing and Insurance Specialist (Remote)

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