Woven Care

Billing Specialist

• Timely, complete, and accurate initial submission of claims, follow-up, and re-submission of claims as necessary
• Own and nurture payor relationships, manage follow-up on special projects, and resubmission of denied claims
• Monitor and report on the aging of accounts receivable and reason codes for claim denials
• Investigate claim denials, identify reasons, and appeal or correct denied claims to ensure maximum reimbursement
• Collaborate with client intake, authorizations, and other internal stakeholders on billing functions and special projects
• Reconcile and distribute accurate and timely patient account statements
• Initiate collections activities for past due accounts and negotiate payment plans or arrangements
• Post collections to practice management software and process remittances from payors
• Recommend and implement process improvements for revenue cycle management, billing, payor relations, and compliance
• Maintain positive relationships with clients, clinicians, team members, and referral sources
• Communicate effectively with families on benefits and insurance costs
• Ensure compliance with healthcare regulations, coding guidelines, and insurance policies
• Supervise day-to-day activities, monitor efficiency and productivity, and provide training, coaching, and technical support
• Assist with planning and implementing quality assurance for all processes and conduct routine staff meetings regarding authorizations

• The ABA Billing Specialist manages benefit verifications, insurance claims, and payment posting to ensure accurate, ethical billing for ABA therapy. This role supports families with financial communication, resolves billing issues, and maintains compliance, helping sustain both client care and organizational performance.
• Conduct accurate Benefit Verifications for all new and existing ABA patients.
• Communicate financial responsibility estimates to families based on insurance quotes.
• Collect patient cost shares and create payment plans for ABA therapy services.
• Monitor session notes, issues identified by the EMR system, and collaborate with appropriate team members.
• Track and manage the requirements necessary for ABA therapy for both new and current patients.
• Coordinate with internal departments for patients receiving multiple services at Woven Care.
• Submit primary and secondary insurance claims as needed.
• Post ABA payments accurately and timely.
• Follow up on claims denials or claims processing issues.
• Cross train on ABA authorization processes to support team flexibility.
• Gather, organize, and submit ABA medical records for audit requests.
• Ensure compliance with HIPAA standards and privacy regulations.
• Demonstrate strong knowledge of and adherence to ethical billing practices.

ABA Billing Specialist

Marketing

• Serve as the face of Woven Care in the Aurora region and increase awareness of ABA, Speech, Occupational, and Physical Therapy services
• Conduct monthly and quarterly visits to assigned pediatrician offices, deliver promotional materials, build relationships with provider staff, and track referral patterns
• Schedule and coordinate educational lunch presentations, order meals, present Woven Care services to providers, and follow up after presentations; recruit volunteers for events
• Research and identify relevant community events, represent Woven Care at assigned events, set up booth displays, engage with prospective families, collect contact information, and submit leads within required timeframes
• Submit weekly activity reports, document visit outcomes, track regional metrics, and maintain contact databases
• Partner with Clinic Managers, Department Heads, and Community Engagement Lead to gauge areas of need, boost referrals, or specialty programs
• Drive 10+ hours per week and participate in events requiring standing and lifting up to 50 lbs.
• Report to the Community Engagement Lead

Regional Marketing Associate

Operations

• Strategic Operations Leadership: Partner directly with the COO to solve our hardest scaling challenges. Help us find and drive opportunities that produce excellent results. Lead collaboration between teams to create better outcomes for our patients and team.
• Technology and Process Innovation: Build automated workflows that eliminate hours of manual work. Turn operational clunkiness into efficient systems.
• Data and Analytics: Turn data into clear, actionable insights that guide smarter decisions. Equip teams with better dashboards and the training and tools they need so data becomes part of their daily routine, driving better performance.
• Special Projects: Lead critical projects working across multiple service lanes; monitor metrics, track progress of initiatives, and share results.
• Change Management and Communication: Help a fast-growing team of 450+ across 10 locations (scaling to 20+ locations in the next 18 months) adopt new systems without losing momentum.

Billing Specialist

ABA Billing Specialist

Regional Marketing Associate

Special Projects Lead, Operations