Medical Billing Specialist

About Advanced Autism Services:

At Advanced Autism Services, we believe every child deserves the opportunity to learn, grow, and thrive!We are a dedicated provider of Applied Behavior Analysis (ABA) therapy, delivering individualized, evidence-based services to children diagnosed with Autism Spectrum Disorder (ASD).Our compassionate team of professionals works closely with children and families to encourage meaningful progress in communication, social development, independence, and everyday living skills.With services provided across multiple states, including Arizona, Virginia, and Maryland, our mission extends beyond clinical care. We believe that a strong administrative team plays an essential role in ensuring families have continued access to the services they need.

That's where you come in!

We are looking for a motivated, detail-oriented, and dependable Medical Billing Specialist to join our growing administrative team in Lakewood, New Jersey.Whether you're an experienced medical biller or a recent graduate ready to begin your career, this position offers a wonderful opportunity to develop your skills in a specialized area of healthcare.

Position Overview:

The Medical Billing Specialist will primarily support our Virginia and Maryland billing operations while assisting with insurance authorizations, medical records coordination, and claims appeals.This position is ideal for someone who enjoys working in a collaborative environment, has strong attention to detail, and is eager to develop a well-rounded understanding of healthcare revenue cycle operations.

Key ResponsibilitiesMedical Billing & Claims Management

• Prepare, review, and submit accurate medical claims to commercial insurance carriers and Medicaid managed care organizations.
• Work with ABA-specific CPT codes, including 97151, 97153, 97155, 97156, and 97157.
• Verify billing accuracy, insurance requirements, authorization information, and supporting documentation before claim submission.
• Monitor outstanding claims, payment statuses, rejections, and denials.
• Follow up with insurance carriers to resolve claim discrepancies and facilitate timely reimbursement.
• Assist with payment posting, accounts receivable follow-up, and reconciliation when needed.
• Maintain accurate billing records and documentation.

Insurance Denials, Reconsiderations & Appeals

• Review denied and underpaid claims to determine the appropriate corrective action.
• Prepare and submit corrected claims, reconsideration requests, and formal appeals.
• Gather supporting documentation, including medical records, authorizations, and provider credentials.
• Communicate with insurance representatives to investigate claim issues and obtain updates.
• Track appeal deadlines, submissions, payer communications, and resolutions.
• Work collaboratively with the billing team to identify recurring denial trends and opportunities for improvement.

Insurance Authorization Support

• Provide additional assistance to our existing authorization team, including Rochelle and Steve, as needed.
• Assist with verifying insurance eligibility, benefits, and authorization requirements.
• Help monitor authorization approvals, expiration dates, service units, and renewal deadlines.
• Support the submission and follow-up of initial and continuing authorization requests.
• Coordinate with clinical and administrative staff to obtain required documentation.
• Help maintain accurate authorization records to support uninterrupted services and proper billing.

Medical Records Coordination

• Process medical records requests received from insurance carriers, government agencies, and other authorized requesting entities.
• Gather, review, organize, and securely transmit clinical documentation.
• Ensure medical records are submitted accurately and within established deadlines.
• Maintain organized tracking systems for outstanding requests and completed submissions.
• Follow HIPAA requirements and company confidentiality policies when handling protected health information.

Qualifications & Requirements

• Completion of a recognized Medical Billing and Coding training program or certificate course is preferred.
• CPC (Certified Professional Coder), CPB (Certified Professional Biller), or an equivalent professional certification is a plus.
• Recent graduates and entry-level medical billing professionals are encouraged to apply!
• Previous experience in medical billing, insurance claims, or healthcare administration is helpful but not required.
• Knowledge of ABA therapy billing is a plus, but training can be provided.
• Strong organizational, communication, and problem-solving skills.
• Excellent attention to detail and ability to manage multiple responsibilities.
• Comfortable communicating with insurance companies, providers, and administrative staff.
• Basic computer proficiency and willingness to learn electronic medical records and billing systems.
• Dependable, professional, and motivated to learn.

Why Join Advanced Autism Services?At Advanced Autism Services, your work makes a difference!Although this is an administrative role, every accurately processed claim, resolved denial, and completed authorization helps support the children, families, and clinical professionals who rely on our services.We offer an opportunity to:

• Gain hands-on experience in medical billing and revenue cycle management.
• Learn the specialized field of ABA therapy billing.
• Develop practical experience with insurance appeals, authorizations, and medical records.
• Work alongside experienced healthcare professionals.
• Build a strong foundation for continued professional growth.

Just completed your medical billing and coding program? We'd love to hear from you!We welcome motivated individuals who are ready to put their education into practice and begin building a rewarding career in healthcare administration.

Join us to be part of a dynamic team committed to excellence in healthcare billing! We offer a collaborative work environment where your skills make a real difference in the lives of children and their families.

Pay: $46,000.00 - $52,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have any ABA Experience?

Experience:

• Medical billing: 1 year (Required)

Work Location: In person

Salary : $46,000 - $52,000