Billing Compliance Specialist

🔥 8 minutes ago

🇺🇸 United States – Remote

💵 $24 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

👻 Ghost score 0%

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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

• Continuously audit draft and converted timesheets for compliance with internal billing and payroll policies, including MUE and EVV audits • Review billing entries against payer guidelines and internal policies • Identify billing, documentation, and timesheet discrepancies and ensure concerns are addressed • Manage shared inboxes related to draft and converted timesheet issues • Support timesheet management and audit projects • Enforce internal billing and payroll policies • Escalate billing and compliance concerns to Compliance, Billing, HR, and other cross-functional partners • Collaborate virtually with regional clinical teams through training, guidance, and audit feedback • Analyze billing and timesheet data to identify trends, risks, and improvement opportunities • Recommend training, process improvements, and policy enhancements • Partner with leadership to develop and implement improvement plans following audit findings • Support additional projects and responsibilities as needed

🎯 Requirements

• High school diploma or equivalent • Previous experience in ABA or healthcare billing, auditing, quality assurance, compliance, or risk management • Strong attention to detail and ability to identify inconsistencies or potential compliance concerns • Ability to interpret and follow established policies, procedures, and payer requirements • Strong organizational and time-management skills • Ability to communicate professionally and collaborate with multiple departments • Comfortable working with data, conducting audits, and following issues through to resolution • At least 1 year of experience within the ABA field (preferred) • At least 1 year of CentralReach experience (preferred) • Experience working with billing documentation, timesheets, payer requirements, EVV, or related healthcare compliance processes (preferred) • Visual and auditory ability to work on a computer and use a phone for extended periods • Ability to perform physical aspects of the position for extended periods, including sitting, standing, bending, squatting, and kneeling

🏖️ Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions • Opportunity to contribute to a growing organization focused on improving access to high-quality autism services • Opportunity to make an impact by strengthening processes supporting employees, clinicians, and families