Billing Specialist

We are hiring a Billing Specialist to focus on insurance claim processing, scrubbing, and denials management. This is a high-volume, detail-oriented role requiring daily ownership of claims moving cleanly through our new EHR, Lumary. The goal: reduce rejections, resolve denials quickly, and keep cash flow consistent.

Behavioral Framework Highlights

• Behavioral Framework is a fast-growing, PE-backed autism therapy provider devoted to providing excellent, honest, and compassionate care.
• We are ranked on the Inc. 5000 list for 3 consecutive years, and one of only four autism providers nationwide to earn 3-year BHCOE accreditation (including telehealth).
• Our headquarters is a beautiful new office just 2 minutes from I-270.

Essential Functions

Insurance Billing & Claims Processing

• Scrub and submit a high volume of claims daily through Lumary EHR.
• Track claim status across clearinghouse and payer portals.
• Research and resolve claim rejections and denials; resubmit clean claims promptly.
• Escalate recurring issues or payer trends to the RCM Manager.
• Assist with payment posting reconciliation and ensure claims match remittance data.
• Support preparation of weekly reports (claims submitted, denied, reworked, paid, etc.).
• Perform related billing duties as needed to support the team.

Knowledge, Skills, Experience

• 2 years of medical billing experience, preferably in behavioral health or other high-volume healthcare settings.
• Strong knowledge of insurance claims processing, rejections, and denials.
• Experience with EHR systems
• Familiarity with ABA billing codes (97151, 97153, 97155, 97156, etc.) is highly desirable.
• Excellent attention to detail and accuracy
• Strong organizational and follow-through skills with ability to meet tight deadlines.
• Proficiency in Microsoft Excel/Office.
• Minimum high school diploma required; associate’s or bachelor’s degree preferred.

Work Environment, Physical Conditions

• Ability to work in a fast-paced environment.
• Ability to work 40 hours per week.
• Ability to work cooperatively with others.
• Must comply with practice policies and procedures.
• Requires daily in-office work. Does not meet the requirements of regular telecommuting.
• Physical activities include sitting for long periods of time, walking, bending, kneeling.
• Must be able to reach, pull, and push.
• Requires manual dexterity, auditory and visual skills.
• Ability to lift up to 15 lbs.

EOE

Behavioral Framework is committed to equitable treatment for all employees, clients, and their families. We welcome and respect the diversity of the families we serve, and we focus our organizational efforts to build a culture of respect, dignity, fairness, caring, equality, and self-esteem.

We believe our strength comes from the shared experiences of our employees, clients, and community. We pride ourselves on serving a diverse population and always seeking to hire, retain, and promote from a wide variety of backgrounds.