Revenue Cycle Management, Billing Specialist

🔥 13 minutes ago

🐊 Florida, Illinois, +9 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $24 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

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Children's Specialized ABA

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2024

🏥 Healthcare

📚 Education

Healthcare • Education

Children's Specialized ABA is a clinical provider of autism-focused services offering applied behavior analysis (ABA) therapy in both center-based and home-based settings, autism diagnostic evaluations, and complementary services such as speech and occupational therapy and family/caregiver guidance. Their multidisciplinary team includes board-certified behavior analysts, registered behavioral technicians, licensed psychologists, occupational therapists, and speech pathologists, and they partner with RWJBarnabas Health. Services are tailored by age and need (center-based for roughly 18 months–6 years; home-based up to age 12) and include early intervention, in-school and after-school support, and comprehensive parent guidance.

📋 Description

• Claims Submission • Submit weekly batches of primary claims for ABA and other multidisciplinary services through CentralReach and Waystar. • Review claims for completeness, accuracy, and compliance prior to submission. • Ensure timely filing requirements are met for all assigned payers. • Monitor claim submission reports and address any rejections or submission errors collaborating with management on any issues or trends. • Secondary Claims Processing • Prepare and submit secondary claims accurately and timely. • Verify primary claim adjudication and coordinate benefits requirements prior to submission. • Maintain documentation supporting secondary claim submissions. • Billing Operations Support • Work closely with the RCM Billing Manager to identify and communicate: • Billing issues • Claim submission barriers • Outstanding claim items • Escalations requiring leadership review • Participate in workflow discussions and process improvement initiatives. • Maintain organized tracking of claim submission activities and follow-up items. • Claim Corrections and Adjustments • Process corrective claims as directed by the RCM Manager or Director. • Submit void and replacement claims when requested by Quality Assurance (QA), Compliance, or Revenue Cycle leadership. • Assist with claim correction projects and payer specific billing requirements. • Compliance and Quality • Follow all company policies, payer guidelines, and regulatory requirements. • Maintain accurate documentation of billing activities. • Support internal audits and quality reviews as requested. • Ensure confidentiality and protection of protected health information (PHI) in accordance with HIPAA regulations.

🎯 Requirements

• Minimum of 1 year of hands-on experience using CentralReach for healthcare billing. • Minimum of 2 years of medical billing experience, preferably within ABA, behavioral health, therapy, or multidisciplinary healthcare services. • Experience utilizing claim clearinghouses such as Waystar. • Knowledge of insurance billing fundamentals, claim submission processes, and payer requirements. • Strong attention to detail and organizational skills. • Ability to manage multiple priorities and meet deadlines in a fast-paced environment. • Proficiency in Microsoft Excel, Outlook, and other standard business applications. • Strong written and verbal communication skills.

🏖️ Benefits

• Up to 19 paid days off in your first year (including PTO, sick time, and holidays); earned on an accrual basis, paid time off increases with tenure • Comprehensive benefits including FREE medical (for employee, buy-up for dependent/partner coverage), voluntary dental, vision, short-term disability, critical illness coverage, and more! • Free 50k life insurance policy. • Free Employee Assistance Program (EAP). • 401(k) retirement savings plan • Company discount program – discounts off amusement parks, memberships, cruises, movie tickets, spas, sports tickets and more.