QA Specialist (ABA Therapy)

Job Opening: QA Specialist

Location: Remote (Working US Hours - 9am-5pm EST)
Type: Full-Time

Salary: Paid in South African Rand (ZAR)

Key Responsibilities

• Conduct regular audits of clinical documentation, session notes, treatment plans, and assessments to ensure accuracy and compliance
• Review submitted claims and supporting documentation for completeness and alignment with payer requirements
• Identify errors, inconsistencies, or missing information and coordinate corrections with relevant team members
• Ensure adherence to ABA best practices, company policies, and insurance guidelines
• Monitor compliance with authorization requirements and service delivery standards
• Collaborate with BCBAs, RBTs, and administrative staff to resolve documentation or billing discrepancies
• Track and report on audit findings, trends, and areas for improvement
• Develop and implement quality improvement initiatives and standard operating procedures (SOPs)
• Provide feedback and training to staff on documentation quality and compliance standards
• Stay up to date with changes in ABA regulations, payer requirements, and industry best practices

• Bachelor’s degree in Psychology, ABA, Healthcare Administration, or a related field (Master’s preferred)
• Certification as a BCBA, BCaBA, or relevant ABA experience is highly preferred
• 2–4+ years of experience in ABA services, quality assurance, or compliance roles
• Strong knowledge of ABA terminology, clinical documentation, and insurance processes
• Experience with ABA practice management systems (e.g., CentralReach, Rethink, Catalyst)
• Familiarity with Medicaid and commercial insurance requirements (U.S. market preferred)
• Excellent attention to detail and analytical skills
• Strong written and verbal communication skills
• Ability to work independently and manage multiple priorities
• Proficiency in Microsoft Office and reporting tools

1. Comfortable working U.S. hours
2. Remote work from home

• Fraud Disclaimer:  ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.