ABA Biller

Company Overview

Come join our team at Alora Behavioral Health, where our 40-year history of compassionate care has evolved into specialized Applied Behavior Analysis (ABA) services across southern California.

Our recent transformation in 2022 has brought exciting changes, including a new name, expanded services, and increased accessibility.

Yet, our commitment to empowering and collaborating with our clients remains steadfast. Join us in making a meaningful difference in the lives of those we serve.

Position Overview

The Biller will be responsible for managing billing and claims for ABA therapy services, ensuring compliance with insurance requirements and accurate reimbursement.

This position requires close attention to detail, knowledge of medical billing practices, and an understanding of the unique needs of ABA services.

Responsibilities

• Manage relationships with insurance providers, state and federal agencies, and other community-based funding sources.
• Implement a consistent and reliable process for claims submission and processing.
• File claims electronically using appropriate software, ensuring timely and accurate submission.
• Ensure accuracy of patient demographic information, proper code use, and adherence to modifier requirements.
• Maintain expertise in ABA CPT codes.
• Familiarity with TRICARE and federal mandates for behavioral health billing; experience with Medi-Cal / Managed Care groups such as Molina, Community Health Group, and Blue Shield is highly preferred.
• Review Explanation of Benefits (EOBs) to identify and resolve missed payments or financial discrepancies.
• Coordinate with insurance departments to ensure claims are paid according to contracted rates.
• File secondary claims as necessary and prepare patient invoice statements.
• Analyze EOBs and post payments in the practice management software for documentation and transparency.
• Work closely with the Accounts Receivable department to ensure proper payment posting and tracking of EOBs.
• Assist with tracking supervision requirements for audits by certification boards and funding sources.
• Collaborate with staff on case oversight requirements and assist with credentialing and contracting obligations.
• Stay updated on changes in ABA billing codes, insurance regulations, and payer policies.
• Provide support in generating monthly billing reports and analyses.
• Respond to patient and payer inquiries regarding billing, payments, and balances.

Qualifications

• High school diploma or equivalent required; associate or bachelor's degree in a related field preferred.
• Minimum of 1-2 years of experience in medical billing, preferably in ABA or behavioral health services.
• Knowledge of CPT codes, ICD-10, HCPCS, and insurance billing practices.
• Familiarity with ABA billing procedures and regulations is a plus.
• Proficiency in billing software and electronic medical records (EMR) systems.
• Strong attention to detail and organizational skills.
• Ability to work independently and manage multiple priorities.
• Excellent communication and problem-solving skills.

Benefits and Compensation

• Hourly Rate : $24.00 / hr, plus benefits
• Opportunities for professional development and advancement
• Collaborative and supportive work environment
• Paid time off and holidays
• Health, dental, and vision insurance

EEO Statement

Alora Behavioral Health is an equal opportunity employer and is committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity, or any other characteristic protected by law.

ADA Accommodation

Alora Behavioral Health is committed to providing reasonable accommodations to individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws.

If you require accommodation due to a disability to participate in the application process, please contact HR at to request assistance.

How to Apply

If you are a passionate HR professional looking to make a positive impact, we invite you to join our team at Alora Behavioral Health.

To apply, please submit your resume and cover letter to . We look forward to hearing from you!