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.
Requirements
Minimum of a HS Diploma
Experience with administrative tasks, preferably within the context of an ABA or medical setting
Excellent communication, time management, problem-solving, and organizational skills
1-3 years’ experience working with ABA billing and authorization processes is preferred
Ability to be in person in Colorado Springs a minimum of twice a month.