Kennedy Care · 1 day ago
ABA Autism Clinic Billing Specialist
Kennedy Care is a growing organization in the ABA therapy field, seeking a Revenue Cycle Specialist to manage billing and claims. This role involves ensuring accurate billing, seamless credentialing, and maintaining a healthy revenue cycle to support clinical teams in delivering impactful ABA services.
Child CareHealth CareHome Health Care
Responsibilities
Manage end-to-end Billing and claims for ABA therapy services with Medicaid and commercial payers
Submit, track, and resolve claims with precision-focused Billing follow-up
Post payments, adjustments, and maintain organized Billing documentation
Generate reports that spotlight Billing performance, trends, and wins
Lead provider credentialing and re-credentialing with confidence and speed
Monitor patient balances, invoices, and collections with empathy
Conduct audits to ensure compliant Billing aligned with ABA requirements
Collaborate cross-functionally to support accurate documentation and timely Billing
Qualification
Required
Applicants must be residents of the state of Michigan
Minimum 3-5 years of experience in medical billing, with at least 2 years specifically in ABA therapy, behavioral health, or pediatric healthcare billing
Demonstrated experience with provider credentialing processes and insurance contracting
Strong working knowledge of CPT codes used in ABA therapy (97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0373T, 0362T, etc.)
Proficiency with Medicaid billing requirements and commercial insurance operations (BCBS, United Healthcare, Aetna, etc.)
Experience with electronic health records (EHR) and practice management systems; familiarity with ABA-specific platforms (Central Reach, Rethink, WebABA, etc.) strongly preferred
Excellent attention to detail with ability to manage multiple priorities and deadlines
Strong written and verbal communication skills
Proficiency in Microsoft Office Suite (Excel, Word) and Google Workspace
Ability to work independently in a remote environment with minimal supervision
Commitment to maintaining confidentiality and HIPAA compliance
Preferred
Certification such as Certified Professional Coder (CPC), Certified Professional Biller (CPB), or Certified Provider Credentialing Specialist (CPCS)
Experience working in a small or growing healthcare practice
Knowledge of Michigan Medicaid billing requirements
Familiarity with CAQH ProView and other credentialing databases
Associate's degree in Healthcare Administration, Medical Billing and Coding, or related field preferred
Bachelor's degree in Business, Healthcare Administration, or related field a plus
Benefits
Supportive leadership and a mission-driven culture
Flexible, hybrid - remote work environment
A chance to be the behind-the-scenes superhero powering high-quality ABA care