Medical Billing & Revenue Cycle Specialist – US ABA Therapy (Full-Time, Long-Term)

About Us

Bright Behavioral Health is a growing ABA (Applied Behavior Analysis) therapy company in the United States. We help children with autism and their families get the care they need, and we work with multiple commercial and Medicaid insurance plans.

We are expanding our billing team and looking for a smart, detail-oriented Medical Billing & Revenue Cycle Specialist who wants a stable, long-term position and is excited to grow with us.

Role Overview

You will be responsible for the end-to-end revenue cycle for a group of clients:

Verifying insurance benefits

Creating and submitting claims

Posting payments and adjustments

Following up on denials / rejections

Keeping AR healthy and low

We will train you on our tools and ABA-specific workflows, but you must already understand US medical billing and RCM.

Key Responsibilities

Insurance & Eligibility

Verify insurance benefits and eligibility before services start

Confirm ABA coverage, copays, deductibles, and prior auth requirements

Maintain accurate payer and member information in our system

Claims & Submissions

Prepare and submit clean claims (CMS-1500 / 837P) on time

Review charges for accuracy (codes, units, modifiers, NPI, taxonomy, place of service, etc.)

Ensure correct use of CPT/HCPCS codes (ABA codes training provided)

Payments, AR & Follow-Up

Post ERAs/EOBs, patient payments, and adjustments accurately

Reconcile daily/weekly deposits with system reports

Work aging reports: call portals / payers to resolve unpaid or delayed claims

Identify trends in denials and recommend fixes (coding, documentation, eligibility, auth, etc.)

Reporting & Communication

Prepare simple weekly reports:

Claims submitted

Amount collected

AR by payer / aging bucket

Communicate clearly with our internal team about issues, missing info, and solutions

Document all actions taken on claims inside our system (notes, status, next steps)

Requirements

Must-Have

2+ years experience in US medical billing / RCM (any specialty; behavioral health/mental health is a plus)

Strong knowledge of:

Claims lifecycle (charge entry ? submission ? payment ? AR)

Common denial codes and how to fix them

ERAs/EOBs and payment posting

Comfortable using:

At least one US billing software / clearinghouse (OfficeAlly, Availity, Kareo, WebPT, DrChrono, Athena, etc.)

Excellent written and spoken English

High attention to detail and accuracy (you enjoy clean numbers and catching errors)

Reliable internet, quiet workspace, and your own computer

Willing to work full-time, long-term and treat this as your main job

Nice-to-Have (Bonus Points)

Experience with ABA therapy, mental health, or pediatrics

Experience handling multiple US payers (Medicaid, UnitedHealthcare, Aetna, Cigna, etc.)

Experience working with US-based remote teams