Billing Manager at QBE supporting financial operations and leading billing and collections processes. Responsibilities include monitoring delinquent accounts and managing budgeted resources.
About the role
- ABA Billing Specialist responsible for managing billing processes for Medicaid and commercial insurance at Colorful Minds ABA. Ensuring compliance and accurate claims submission, processing, and management.
Responsibilities
- 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
Requirements
- Minimum 2+ years of ABA billing experience (required)
- Strong knowledge of Illinois Medicaid and commercial insurance
- Hands-on experience with: Rethink Behavioral Health, Tebra
- Knowledge of CPT codes specific to ABA services
- Experience working with authorizations and unit tracking
- Strong Excel/Google Sheets skills
- High attention to detail and ability to work independently
- Preferred Experience in pediatric behavioral health
- Familiarity with EVV requirements
- Understanding of credentialing workflows
- Experience working in a multi-site ABA organization
Benefits
- Competitive hourly rate based on experience
- Flexible work schedule (Hybrid or Remote options)
- Growth opportunity within a scaling organization
- Collaborative leadership team
- Structured processes and KPIs
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
No Education Requirement
Location requirements
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