Job Description

Hidden Gems ABA is a dedicated provider of high-quality Applied Behavior Analysis (ABA) therapy services, committed to helping individuals with autism reach their full potential. Our mission is to provide compassionate, evidence-based care to our clients and their families.

Position Summary

We are seeking a detail-oriented and experienced Billing Specialist to manage all aspects of the medical billing and revenue cycle for our ABA therapy services. The ideal candidate will have a strong understanding of ABA billing practices, insurance verification, authorizations and claims processing.

Key Responsibilities

Claims Submission: Prepare, review, and submit claims to various insurance payers using CentralReach, 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 3 years of experience in ABA medical billing.

Knowledge: In-depth knowledge of CPT 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.

Pay: $80,000.00 - $120,000.00 per year

Benefits:

Dental insurance Health insurance Paid time off Vision insurance
Experience:

ABA billing: 3 years (Preferred)
Ability to Commute:

Upper Saddle River, NJ (Required)
Work Location: In person