Billing Specialist

Upper Saddle River, NJ

$80,000 - $120,000

Our client, a dedicated provider of high quality Applied Behavior Analysis (ABA) therapy services, is seeking a detail oriented and experienced Billing Specialist to manage all aspects of the medical billing and revenue cycle for their ABA therapy services. The ideal candidate will have a strong understanding of ABA billing practices, insurance verification, authorizations and claims processing.

Responsibilities:

• Claims Submission: Prepare, review, and submit claims to various insurance payers using CentralReach, Rethink, etc. in a timely and accurate manner.
• Accounts Receivable Management: Monitor A/R aging reports, identify denied claims, and perform necessary re-billings or appeals to ensure maximum reimbursement.
• Insurance Verification & Authorization: Verify client insurance eligibility and benefits, and obtain necessary service authorizations and re-authorizations prior to service delivery.
• Payment Posting & Reconciliation: Accurately post electronic and manual insurance and patient payments to client accounts and reconcile payment discrepancies.
• Compliance & Reporting: Maintain up-to-date knowledge of billing regulations and compliance requirements (HIPAA, etc.) and generate regular reports on billing metrics for management.
• Client Communication: Respond to client billing inquiries and resolve billing issues professionally and promptly.
• Credentialing Support: Assist with the credentialing and re-credentialing process for the agency and providers with various insurance networks.

Qualifications:

• Experience: Minimum of 2 years of experience in ABA medical billing.
• Knowledge: In-depth knowledge of CPT, UKG, and ICD-10 coding, RCM processes, and major insurance payer policies.
• Skills: Proficient in CentralReach, or other medical billing software.
• Strong proficiency in Microsoft Office Suite (Excel, Word).
• Attributes: Excellent attention to detail, strong analytical and problem-solving skills, and the ability to manage multiple tasks in a fast-paced environment.

Benefits:

• Competitive salary commensurate with experience.
• Health, dental, and vision insurance.
• Paid time off/Vacation/Sick leave.
• Opportunities for professional development.