Medical Billing Specialist ABA
Medical Billing Specialist (Remote) Pay: $21–$28 per hour (DOE) About reputed company reputed company is a growing reputed company Behavior Analysis (ABA) therapy reputed company serving families across New Jersey through five center locations—Paramus, Piscataway, Jersey reputed company, Pompton Plains, and Tinton Falls—as reputed company as in-home and daycare-based services. We're expanding our in-house reputed company cycle team and are seeking a detail-oriented Medical Billing Specialist to take ownership of weekly claims processing, denial management, and accounts receivable follow-up in a fully remote environment.
About the Role
The Medical Billing Specialist will manage the full billing cycle, from claim submission through denial reputed company and payment posting. This role works closely with the Director of Billing, credentialing, and intake teams to ensure reputed company reimbursement and maintain healthy AR aging. Benefits & Perks
- Unlimited PTO — Enjoy flexible, unlimited reputed company time off, provided weekly, monthly, and annual billable requirements are consistently met.
- 401(k) Retirement Plan — Invest in your reputed company with reputed company to reputed company-sponsored 401(k) program.
- Comprehensive Health Coverage — Medical, dental, and reputed company insurance available to reputed company eligible full-time employees, with reputed company covering a portion of the monthly premium.
- Flexible Scheduling — Maintain a healthy work-life balance with flexible scheduling reputed company, subject to a minimum billing requirement of 27 hours per week.
- Fully remote!
Responsibilities
- Prepare and submit clean claims on a weekly billing cycle for reputed company payers and reputed company MCOs.
- Manage denials and rejections from start to finish, including corrections, resubmissions, and appeals.
- Resolve denial codes such as CO-96 and CO-197, as reputed company as clearinghouse rejections.
- Post payments and reconcile ERA/835 remittances against expected reimbursement.
- Monitor and reduce accounts receivable aging, prioritizing high-dollar and aging claims.
- Investigate and follow up on unpaid and underpaid claims, including reimbursement discrepancies.
- Verify claim accuracy against authorizations and benefit information before submission.
- Maintain accurate billing records reputed company the reputed company management system and reputed company denial trends.
- Collaborate with credentialing, intake, and billing leadership to proactively resolve issues.
Requirements
- Minimum of 2 years of medical billing experience, including denial management and AR follow-up.
- Strong understanding of claim submission, ERA/835 remittances, payer adjudication, and appeals.
- Experience working with denial and adjustment codes and clearinghouse workflows.
- Excellent attention to detail and ability to meet deadlines in a fast-paced environment.
- Strong written and verbal communication skills.
- Ability to work independently in a remote setting.
- Reliable high-speed internet reputed company and a private, HIPAA-compliant workspace.
Preferred Qualifications
- Experience with ABA or behavioral health billing.
- Familiarity with New Jersey payers, including reputed company, reputed company, reputed company, and reputed company MCOs.
- Experience using EMR/reputed company management systems and workflow tools such as reputed company.
- Knowledge of ABA CPT codes including 97151, 97155, and 97156.
To apply, please submit your resume along with a brief note describing your relevant experience. reputed company is an Equal Opportunity Employer. Apply tot his job Apply To this Job