Job Description
Description:
We are an ABA therapy agency currently outsourcing our billing, credentialing, authorization management, and verification of benefits (VOB) to a third-party vendor. We’re now ready to bring these functions in-house and are looking for an experienced U.S.-based consultant to guide us step-by-step through this transition.
We're seeking a highly knowledgeable expert in ABA-specific revenue cycle management to help us:
Scope of Work:
Provide a comprehensive overview of each function (billing, credentialing, authorizations, and VOB) within the context of ABA therapy
Identify tools, systems, and best practices for each function
Assist in building and documenting our internal processes and workflows
Train our internal team (operations/admin staff) to take over these responsibilities with confidence and accuracy
Review and advise on any software or platforms we’re currently using or considering (e.g., CentralReach)
Be available for Q&A, troubleshooting, and occasional ongoing support as needed
Requirements:
Must be located in the United States
Direct experience in ABA therapy revenue cycle management
Deep knowledge of payer credentialing (commercial and Medicaid), especially in states like Colorado and Maryland (preferred)
Proven experience managing authorizations and VOBs for ABA services
Familiarity with ABA billing codes (CPT 97151, 97153, etc.), payer requirements, and compliance standards
Strong communication skills, with an ability to clearly explain processes and train others
Ability to create or contribute to SOPs and training materials
Preferred Experience:
Familiarity with CentralReach or other ABA-specific EMRs
Experience working with multi-state providers
Prior consulting or training experience
Project Type:
Short-term consulting engagement with the potential for extended support
Please Note: This is a U.S.-based role only. Candidates must reside in and have direct experience working within the U.S. healthcare system.
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