Billing & Claims Specialist (ABA RCM)
Turns delivered sessions into paid claims, and knows why an ABA claim will be denied before the payer says so.
100% remoteNo contract, cancel anytime
What this role does in an ABA practice
- Scrubs session notes against authorizations before claims go out
- Applies the correct CPT codes (97151–97158) and rendering-provider modifiers according to each payer’s policy
- Submits claims through the clearinghouse and posts ERAs and payments
- Works denials and rejections: corrects, resubmits or escalates to appeal
- Reports clean-claim rate, days in AR and denial trends to the owner or revenue-cycle lead
What we screen for
- Code literacy: 97153 vs. 97155 vs. 97156, and when concurrent billing is allowed
- Modifier mapping (HM, HN, HO, HP) by credential, as each payer defines it
- Unit math: 15-minute units and payer-specific rounding rules
- Denial triage using real CARC and RARC codes
- Readiness for the January 2027 ABA code revisions
Every candidate also completes HIPAA privacy and security training.
Typical software
- CentralReach Billing
- Rethink
- AlohaABA
- Office Ally
- Availity
- Waystar
- Excel or Google Sheets
How it works remotely
One of the most remote-friendly roles in ABA. We confirm device security, multi-factor authentication and a private workspace before placement.
Sample interview and skills-test items
- TriageSort ten denials by recoverable dollars and deadline. Explain CO-197, CO-16 and CO-29 in plain English.
- ScrubA BCBA billed 97155 while the RBT billed 97153 for the same client and time. Is that billable for this payer? What do you check?
- ReportingWalk us through your month-end close. What report do you send the owner?
Hiring a ABA billing specialist?
About half the cost of a local hire. Free to interview. No contract.