Billing Coordinator

Billing Coordinator – ABA & Multidisciplinary Therapy Location: Hybrid (Remote + In-Clinic as Needed) About Us We are a growing pediatric ABA provider operating alongside an established multidisciplinary therapy practice offering Occupational Therapy and Speech Therapy. We are building a collaborative, family-centered environment focused on providing exceptional care while maintaining the highest standards of compliance and operational excellence. As a startup ABA company, we are looking for an experienced Billing Coordinator who is excited to help build systems, improve workflows, and grow with our organization. Position Summary The Billing Coordinator will oversee the complete billing and revenue cycle for our ABA services while collaborating with our Occupational Therapy and Speech Therapy teams to ensure accurate multidisciplinary billing. This role requires someone with extensive ABA billing experience, a strong understanding of Texas payer requirements, and the ability to work independently while partnering closely with our clinical and administrative teams. This is primarily a remote position with occasional in-clinic hours for team meetings, training, workflow development, and collaboration. Responsibilities Review, process, submit, and reconcile all insurance claims accurately and efficiently. Ensure timely claim submission, payment posting, denial management, and appeals. Verify authorizations and ensure services are billed within approved limits. Maintain compliance with payer-specific guidelines and documentation requirements. Monitor accounts receivable and follow up on outstanding claims. Work closely with BCBAs, RBTs, therapists, and administrative staff to resolve billing discrepancies. Coordinate with therapists to ensure documentation supports medical necessity and meets payer requirements. Review treatment notes for billing accuracy and compliance. Understand and apply Texas Medicaid and commercial insurance billing requirements for ABA services. Maintain current knowledge of Texas CPT coding guidelines, billing regulations, and payer policies related to ABA. Assist with credentialing, payer enrollment, and startup billing workflows as needed. Develop and improve billing processes, policies, and standard operating procedures. Assist leadership with reporting on collections, denials, aging reports, and revenue cycle metrics. Identify opportunities to improve reimbursement and reduce claim denials. Support operational initiatives as our ABA program continues to grow. Qualifications Required Minimum of 2-3 years of ABA billing experience. Experience billing Texas Medicaid and commercial insurance plans. Strong knowledge of Texas ABA CPT coding guidelines and payer requirements. Experience managing the full revenue cycle, including: Claims submission Payment posting Denials and appeals Accounts receivable follow-up Reconciliations Experience with authorizations and insurance verification. Excellent organizational and problem-solving skills. Strong communication skills with both clinical and administrative teams. Ability to work independently while managing multiple priorities. Preferred Experience billing within a multidisciplinary pediatric practice (ABA, Occupational Therapy, Speech Therapy, and/or Physical Therapy). Knowledge of credentialing and payer enrollment. Experience developing billing workflows and standard operating procedures. Experience with electronic medical record (EMR) systems and practice management software. Advanced Excel or reporting skills. Bilingual ( Spansih) What We're Looking For The ideal candidate is someone who: Takes ownership and proactively solves problems. Enjoys building systems and improving processes. Communicates effectively with therapists, BCBAs, and leadership. Has exceptional attention to detail. Understands the importance of compliance and ethical billing. Thrives in a growing startup environment where flexibility and initiative are valued. Wants to play a key role in helping build a successful ABA program from the ground up. Schedule Hybrid position with primarily remote work. Ability to attend in-clinic meetings and collaborate with the team as needed. Full-time preferred. Why Join Us? Opportunity to help build a new ABA company from the ground up. Collaborative multidisciplinary team including ABA, Occupational Therapy, and Speech Therapy. Flexible hybrid work environment. Opportunity for professional growth as the company expands. Supportive leadership that values innovation, teamwork, and high-quality patient care. If you are passionate about ABA billing, enjoy creating efficient systems, and want to be part of an exciting startup with a collaborative multidisciplinary team, we'd love to hear from you. Pay: From $18.00 per hour Experience: aba medical billing: 2 years (Required) Work Location: Hybrid remote in Spring, TX 77380