Job Description
Job Description
Salary : $23-$25 / Hr
Medical Billing and Payment Posting Specialist
About Us : At Abundant Life Family Services, we are dedicated to making a difference in the lives of children and families through our Early Intervention and ABA Therapy programs. We believe that every child deserves the opportunity to reach their full potential, and we're committed to providing the highest quality of care.
Job Description : We are seeking a skilled and experienced ABA Billing Professional to join our team. In this role, you will be responsible for handling healthcare billing for our ABA Therapy programs and contributing to overall Revenue Cycle Management. The successful candidate will have a minimum of two years of medical billing experience and will be proficient in dealing with private insurance and Medicaid billing.
Key Responsibilities :
- Prepare and submit claims to various insurance providers, including private insurance and Medicaid.
- Accurately post payments and adjustments to accounts.
- Verify and reconcile all insurance payments with remittance advice.
- Identify and resolve any discrepancies or issues with payments.
- Collaborate with billing team to resolve any billing or coding errors.
- Communicate payment and denial trends to Manager.
- Contribute to and strengthen the organizations Revenue Cycle Management by ensuring accuracy, compliance, and efficiency across all ABA billing processes.
- Verify patient insurance information and eligibility.
- Review and appeal denied claims as needed.
- Ensure accurate and timely billing of services.
- Maintain up-to-date knowledge of insurance regulations and billing requirements.
- Partner with clinical staff and leadership to align billing practices with ABA therapy procedures and appointment structures.
- Monitor and report on revenue cycle performance metrics, identifying opportunities to reduce denials and increase collections.
- Embrace innovation and be open to leveraging AI and other technology solutions to improve coding accuracy, streamline workflows, and enhance revenue cycle performance over time.
- Collaborate with our dedicated team to ensure seamless billing processes.
- Perform other duties as assigned by Manager or Director.
Qualifications :
Education : Bachelors degree required (Healthcare Administration, Business, or related field preferred).Experience : Minimum of two years of ABA / behavioral health medical billing experience, with demonstrated knowledge of CPT, ICD-10, and HCPCS coding for ABA therapy services.Insurance Knowledge : Proven proficiency with both private insurance and Medicaid billing, including eligibility verification, authorizations, claims submission, and appeals.Regulatory Compliance : Strong understanding of payer compliance, HIPAA, and state / federal billing regulations related to behavioral health and ABA services.Revenue Cycle Management : Hands-on experience contributing to the full revenue cycle from patient intake and coding through payment posting, denial management, and reporting.Technical Proficiency : Comfortable working with billing software, clearinghouses, and electronic health record (EHR) systems; ability to adapt to new technologies and AI-driven solutions.Analytical Skills : Ability to track, analyze, and report on denial trends, payment accuracy, and revenue cycle KPIs.Soft Skills : Excellent attention to detail, organizational skills, and problem-solving abilities; strong written and verbal communication skills to work effectively with providers, payers, and internal staff.Cultural Alignment : Mission-driven, values-centered professional who can represent Abundant Life Family Services commitment to children, families, and quality care.Compensation : $23-$25 / hr based on experience