Revenue Cycle Specialist

About Children's Specialized ABA

Children’s Specialized ABA is designed to address the comprehensive needs of children, teens, and young adults diagnosed with autism spectrum disorder (ASD). By leveraging the expertise of the Children’s Specialized Hospital Autism Center of Excellence, the program aims to expand access to innovative and compassionate care, empowering children diagnosed with autism to thrive. Children’s Specialized ABA embraces a holistic approach, recognizing the interconnectedness of physical, emotional, and social well-being, ensuring every aspect of a patient’s life is considered in their therapeutic journey.

Our integrated care model brings ABA therapy services augmented by complementary therapies, such as speech and language, occupational, and behavioral health services, ensuring a comprehensive, whole-child approach that supports a wide range of needs, from verbal to behavioral and social skills.

The Values that set Children's Specialized ABA apart

• Inclusivity: We celebrate the diversity within the Autism spectrum and are committed to creating an inclusive environment that respects and values each person’s individual strengths and differences.

• Innovation: We foster a culture of creativity and collaboration, exploring new ideas to develop personalized solutions that enhance quality of life for all children with Autism.

• Connection: We actively engage with the health systems and broader community to coordinate services and care for people with Autism.

• Quality and Safety: We invest in research and training to provide cutting-edge, effective, safe and personalized services tailored to the unique needs of those we serve.

Position Overview

The Accounts Receivable Specialist is a vital part of the Revenue Cycle Management (RCM) team, responsible for maintaining accurate billing and collections processes for Children’s Specialized ABA. This role involves close collaboration with the Authorization and Data teams and the RCM Director to manage and resolve outstanding accounts receivable.

This role can be 100% remote or hybrid depending on the candidate's location. Candidates must live in one of the following states: NC, AZ, MD, NJ, IL, MO, TX, FL, or OH. Ideal candidates will have at least two years of experience in ABA billing operations and skills in Central Reach (CR) and Excel.

This role is M-F, and the core work hours are 8:30am - 5:00pm EST (with a 30-min. meal period); flexibility may be required to meet department/organizational goals.

Responsibilities

• • Review and address outstanding AR reports to ensure timely resolutions.

• • Monitor aging accounts and prioritize follow-ups based on deadlines and account balances.

• • Collaborate with the RCM Director to resolve high-priority issues.

• • Analyze Explanation of Benefits (EOBs) to identify underpayments, denials, or other discrepancies.

• • Communicate with insurance companies to resolve denied or underpaid claims.

• • Use insurance portals to reconcile payments and investigate claim issues.

• • Draft and submit appeals for denied claims while tracking deadlines for timely follow-up.