Colorful Minds ABA

Billing Specialist

• Submit and track electronic claims via Rethink Behavioral Health
• Submit commercial claims through Tebra
• Process Illinois Medicaid claims (including MCOs)
• Verify authorizations, units, and service codes (97151, 97153, 97155, 97156, etc.)
• Ensure claims align with treatment authorizations and session notes
• Monitor aging reports and maintain A/R within company benchmarks
• Investigate and resolve denials, rejections, and underpayments
• Submit corrected claims and appeals as needed
• Follow up with payors regarding outstanding balances
• Post EFT, ERA, and manual payments accurately
• Reconcile payments with billed units and authorizations
• Coordinate with leadership regarding revenue trends
• Ensure billing compliance with Medicaid and commercial guidelines
• Work closely with the clinical team to resolve documentation discrepancies
• Identify trends that may impact reimbursement
• Maintain HIPAA compliance and confidentiality standards

ABA Billing Specialist, ABA Billing Experience