ABA Billing Specialist

Responsibilities

• Manage full-cycle ABA billing, including claim submission, payment posting, follow-up, and reconciliation
• Handle out-of-network billing processes, including claim preparation, appeals, negotiation strategies, and documentation compliance
• Track and aggressively follow up on unpaid or underpaid claims
• Work closely with clinical and intake teams to ensure proper authorization, coding accuracy, and required documentation
• Monitor aging reports and implement strategies to reduce AR days
• Identify trends in denials and proactively implement corrective measures
• Maintain compliance with payer requirements and evolving insurance regulations
• Communicate professionally with insurance carriers and internal stakeholders to resolve complex billing issues
• Assist leadership with reporting related to revenue cycle performance

Requirements

• Direct ABA billing experience required
• Strong out-of-network billing experience required
• Proven track record managing high-dollar insurance claims and reducing AR
• Deep understanding of CPT coding, authorizations, and insurance verification for ABA services
• Experience working with commercial payers common in the NYC market
• Strong organizational skills with high attention to detail
• Ability to work independently and take ownership of billing outcomes
• Comfortable working full-time in an in-office environment in Borough Park, Brooklyn

About the Company

Wealthy Group of Companies LLC is a well-established and rapidly expanding provider of ABA and special education services serving families throughout New York, focused on delivering clinically strong, ethically grounded care.