Senior ABA / Medical Billing Specialist (Remote)
About the Role
Home Link International Inc. is seeking a highly experienced, detail-oriented ABA Billing Specialist to join our growing team. In this role, you will play a critical part in ensuring accurate, compliant, and timely billing for Applied Behavior Analysis (ABA) services. This is a fully remote position requiring strong expertise in ABA billing, medical billing processes, and revenue cycle management (RCM). The ideal candidate is someone who can work independently, navigate complex payer requirements, and manage billing operations with minimal oversight. If you have a strong background in ABA or behavioral health billing and want to make a meaningful impact, we want to hear from you. Key ResponsibilitiesBilling & Revenue Cycle Management
- Process and submit ABA therapy claims to insurance carriers, Medicaid, and commercial payers
- Manage the full billing cycle (submission → adjudication → payment reconciliation)
- Track and follow up on outstanding claims, denials, and rejections
- Post payments and reconcile accounts receivable (ERA/EOB posting)
- Monitor aging reports and proactively resolve outstanding balances
ABA Billing & Coding Expertise
- Review and verify billing codes, including ABA CPT codes (97151–97158, 97155, 97156, etc.)
- Ensure compliance with payer-specific guidelines and authorization requirements
- Stay current with industry updates, CPT code changes, and billing regulations
- Experience working with Medicaid, commercial insurance, and managed care plans (e.g., Optum, PerformCare/CSOC)
Systems & Technology
- Utilize CentralReach (REQUIRED) for billing and documentation workflows
- Work across multiple EMR/EHR and practice management systems
- Leverage automation tools (e.g., Claim Check AI, Claim Accelerator, RCM tools)
- Maintain accurate and organized billing records within systems
Compliance & Audits
- Ensure compliance with state, federal, and payer regulations
- Manage and respond to prepay/postpay audits (e.g., Optum audits)
- Upload and track medical record requests and required documentation
- Identify and correct billing discrepancies proactively
Communication & Reporting
- Communicate with insurance companies to resolve discrepancies and appeals
- Provide regular billing updates and reports to leadership
- Collaborate with clinical and administrative teams to resolve billing issues
QualificationsRequired
- 3–5+ years of ABA or medical billing experience (ABA strongly preferred)
- Proven experience with CentralReach (REQUIRED)
- Strong knowledge of CPT coding and insurance billing processes
- Experience handling denials, audits, and appeals
- Deep understanding of Medicaid and commercial payer systems
Preferred
- Experience with New Jersey Medicaid / PerformCare / CSOC services (IIC, ISS, IHH)
- Background in behavioral health or ABA service providers
- Billing certification (CPC, CBCS) a plus
Key Skills
- Strong attention to detail
- Excellent problem-solving and analytical skills
- Ability to manage multiple accounts simultaneously
- Strong organizational and time management skills
- Clear and professional communication
About Us
Home Link International Inc. is a dedicated provider of ABA and behavioral health services, committed to improving the lives of individuals and families we serve. Our clients trust us for our compassionate, high-quality care, and our team thrives in a supportive, mission-driven environment. Join a company where your work directly impacts lives every day.
Compensation
- Competitive hourly or contract rate based on experience
- Estimated workload: 10–20 hours per week (or based on agency needs)
Pay: $25.00 - $35.00 per hour Benefits:
- 401(k) matching
- Flexible schedule
Work Location: Remote