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