ABA Billing & Authorizations Specialist (US Healthcare) - EST Hrs Remote

An experienced ABA Billing & Authorizations Specialist supporting revenue cycle operations for a US-based healthcare provider specializing in ABA therapy. The role involves preparing, submitting, and managing medical claims and insurance authorizations, with potential to handle full end-to-end billing.

Location: Remote (South Africa)

Responsibilities

• Prepare and submit medical claims to US insurance providers.
• Review and correct rejected or denied claims.
• Follow up with insurers on outstanding or unpaid claims.
• Maintain accurate billing documentation and workflow tracking.
• Collaborate with internal teams to ensure billing accuracy.
• Gradually take ownership of end-to-end billing processes as training progresses.

Requirements

• Minimum 2+ years of experience in US healthcare billing.
• Strong understanding of US insurance processes and claims workflows.
• Experience handling denied or rejected claims and performing corrective actions.
• Highly organized with attention to detail and strong critical thinking skills.
• Excellent written and verbal English communication.
• Proficiency with MS Office and Outlook.
• ABA therapy billing experience is advantageous.

Additional Information

• Working hours: Monday – Friday, 9:00 AM – 6:00 PM EST.
• Work on South African and US public holidays (compensated as per BCEA).
• Mandatory internet: fixed fibre line with minimum 25 Mbps speed and wired Ethernet.
• Reliable power backup required for load shedding/outages.
• Fully remote work environment.