Billing Specialist
Posted 67ds ago
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Job Description
Billing Specialist managing claim processing and ensuring accurate billing for ABA service providers. Collaborating with clients and internal teams to mitigate denials and improve processes.
Responsibilities:
- Pull billing exports for all accounts assigned following the guidelines set by the RCM team
- Scrub billing according to payor rules
- Make sure that you are looking at the payor rules in SharePoint
- Update payer rules as needed in the RCM share drive
- Upload / Enter charges
- Run summary reports and save to client files as required
- Submit claims in a timely manner
- Generate unverified appointments and upload them into the client’s folder for their review
- Notify the client when billing is complete
- Fix/Manage all rejections
- Correct claims that had errors
- Communicate issues or opportunities to improve billing processes to your manager
- Submit secondary claims as needed
Requirements:
- HS Diploma or Equivalent
- ABA billing experience
- Minimum 2-5 years’ experience in billing both major commercial insurance companies as well as state Medicaid programs
- Experience using Billing Software, EMR and Clearinghouse systems (Azalea, Tebra, Waystar, Trizetto, Availity, Stedi)
- Experience using insurance company websites/portals
- Proficient in using Microsoft Suite (Outlook, Excel, Word)
- Willing to learn and must have a positive attitude even when working under pressure
- Strong verbal and interpersonal skills
- Must be able to multi-task and manage your time
- Exceptional attention to detail, critical thinking, and excellent communication with internal teams and insurance companies
Benefits:
- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Denial & Vision benefits package
- 401k + Matching



















