Benefits:
Dental insurance
Health insurance
Paid time off
Parental leave
Vision insurance
About KD Care:
KD Care Community ABA Services is a fast-growing provider of Applied Behavior Analysis (ABA) therapy for children with autism. We are seeking a Billing Specialist with direct experience in ABA billing and Medicaid payor guidelines to ensure timely and accurate claims submission, payment posting, and denial resolution.
Position Overview:
The Billing Specialist will be responsible for processing and submitting insurance claims, reviewing billing accuracy, managing denials, and ensuring timely reimbursement in alignment with Medicaid and commercial payor requirements specific to ABA therapy services.
Key Responsibilities:
Submit accurate and timely claims to Medicaid and commercial payors for ABA services
Review session notes and billing data to ensure compliance with payor rules (e.g., modifiers, units, CPT codes)
Track and resolve claim denials and underpayments, ensuring maximum reimbursement
Monitor authorization usage and flag upcoming expirations to ensure clean billing
Coordinate with credentialing, clinical, and intake teams to verify billing readiness
Maintain strict confidentiality of client and financial data
Stay current on state Medicaid policies, payor guidelines, and ABA billing regulations
Generate and review billing reports, and assist with monthly revenue tracking
Required Qualifications:
2–5 years of medical billing experience with at least 1 year in ABA billing required
Experience with Medicaid, BCBS, Aetna, Meridian, or similar payors
Knowledge of ABA-specific CPT codes (e.g., 97151, 97153, 97155, 97156, 97157)
Familiar with billing platforms such as CentralReach, TherapyNotes, Office Ally, or similar
Strong data entry skills
Intermediate Excel or Google Sheets skills
Detail-oriented, organized, and able to manage multiple priorities
Strong verbal and written communication skills
Preferred Qualifications:
Experience in Michigan Medicaid ABA billing
Familiar with DWIHN billing requirements
Prior work in a fast-paced, multi-location behavioral health or ABA agency
Why Join KD Care?
Be part of a mission-driven, growing team
Competitive pay with room for advancement
Supportive leadership and opportunity for cross-training
Make a real impact helping families and children with autism