Job Overview
We are seeking an experienced, results-driven ABA Revenue Recovery & AR Cleanup Specialist to join our team on a flexible, part-time basis. In this role, you will partner directly with ABA providers to audit, trace, and recover outstanding revenue. If you have deep expertise in behavioral health billing, insurance collections, and a passion for turning aged accounts receivable into collected cash, this flexible role offers an excellent opportunity to make a measurable financial impact.
Key Responsibilities
- AR Diagnostic & Auditing: Conduct comprehensive audits of aged accounts receivable (AR) to identify root causes of claim delays, systematic payment underpayments, and unrecovered revenue.
- Denial Management & Appeals: Investigate, correct, and aggressively appeal denied, rejected, or unpaid claims with commercial and Medicaid payers.
- Insurance Follow-Up: Communicate directly with insurance providers to resolve complex billing bottlenecks, credentialing hold-ups, or authorization mismatches.
- Data Cleanup & Integrity: Review and correct CPT codes (e.g., 97151–97158), modifiers, and billing documentation to ensure accurate claim resubmission and compliance.
- Performance Reporting: Maintain clear tracking of recovery milestones, aging reductions, and collected cash to present clear progress reports to leadership.
Qualifications & Experience
- ABA Billing Expertise: Minimum 2–3 years of dedicated experience handling medical billing, collections, and AR management specifically for Applied Behavior Analysis (ABA) or behavioral health providers.
- Payer Knowledge: Strong working familiarity with major insurance networks, authorization workflows, and Medicaid reimbursement rules for autism services.
- Technical Proficiency: Hands-on experience navigating electronic health records (EHR) and billing platforms common to ABA providers (e.g., CentralReach, Lumary, Alova, or similar software).
- Analytical Mindset: Exceptional attention to detail with a proven track record of successfully cleaning up messier, legacy aging buckets ($100k+).
- Autonomy: Self-motivated and comfortable working independently in a remote, output-driven environment.
What We Offer
- Flexible Hours: Completely customizable, part-time schedule that fits around your existing personal or professional commitments.
- Remote Independence: Work comfortably from your home office with autonomy over your daily tasks.
- Impactful Work: Directly influence the financial health of providers delivering life-changing care to families.
Pay: $23.90 - $35.00 per hour
Benefits:
Work Location: Remote
