Billing Specialist

Description

Position: Billing Specialist

Position Summary:

As a member of the Billing & Payment Posting Team, you have an organized mind and resolute spirit. You understand decision trees and possess the rare ability to analyze and organize available billing before processing it. You also understand the importance of promptness and can consistently achieve recurring goals.

By billing out claims for provided services accurately and on time, you serve as the financial heartbeat of the organization. Your work ensures steady cash flow, allowing leadership to maintain daily operations and plan for future growth while supporting the continuity of services for families.

Key Responsibilities

• Prepare, review, and submit claims accurately and in compliance with payer rules, coding standards, and organizational policies.
• Ensure services are billed within established timelines, targeting an average of 5 days from the date of service.
• Monitor daily billing queues and prioritize workload to ensure at least 75% of all monthly services are billed within the same month, and 90% by first billing run of following month.
• Re-bill claims promptly when notified of insurance changes, ensuring corrections are submitted within established turnaround times
• Maintain a high clean claim rate by carefully verifying patient information, payer details, and coding before submission.
• Monitor clearinghouse rejections, correct errors, and resubmit claims quickly to minimize delays.
• Collaborate with Credentialing, Eligibility, Authorization, and AR teams to resolve front-end issues contributing to billing delays or denials.
• Maintain accurate documentation of billing activities, corrections, and resubmissions within the billing system.
• Support leadership in tracking billing-related KPIs by providing data and insights on trends, bottlenecks, and process improvements.
• Actively identify opportunities to reduce recurring billing errors and contribute to root cause resolution across the revenue cycle team.
• Uphold HIPAA compliance and confidentiality standards in all billing activities.

Requirements

Performance Metrics:

• Monthly Cash Collections Target- No less than 95% of target met, with performance encouraged to exceed 100% of target
• Average Days to Bill- 5 days or fewer from date of service to billing, with at least 75% of all services provided in a given month billed within that same month
• Insurance Change Re-Bills- =95% of claims re-billed within 5 business days of updated insurance notification
• First Pass Acceptance Rate (Clean Claims)- Monthly Claim acceptance rate of at least 90%
• Average Days to Pay (Clean Claims, All Payers)- Average payment time of fewer than 20 days
• Error Prevention- All RCM teams routinely identify and fix root causes, preventing recurring denials

Desired Qualifications and Experience:

• Associate's or Bachelor's degree in healthcare administration, business, or related field preferred.
• Minimum 2 years of experience in healthcare billing or revenue cycle operations, preferably in ABA.
• Familiarity with payer billing requirements, CPT/HCPCS and modifier codes, and claim submission processes.
• Experience with RCM systems and clearinghouse platforms; Central Reach experience highly preferred.
• Strong organizational skills with the ability to prioritize multiple tasks and meet strict deadlines.
• Proven ability to work efficiently while maintaining accuracy in high-volume billing environments.
• Effective communication and interpersonal skills; able to collaborate across RCM departments.
• Demonstrated problem-solving ability and persistence in resolving billing challenges.
• Proficiency with Microsoft Office Suite, particularly Excel, for reporting and tracking.
• Strong attention to detail and commitment to error prevention and compliance.

Essential Job Functions

• Must have manual dexterity to perform specific computer and electronic device functions 
• Must have visual acuity to read and comprehend written communication though computer, electronic devices, and paper means.
• Must be able to maintain prolonged periods of working on a computer while sitting at a desk and attending virtual meetings

Job Type: Non-Exempt, Full-Time
 

Pay is competitive and based on candidate qualifications and experience. Full-time employees will be offered our comprehensive benefits including Paid Time Off, 401k, insurance (health, dental, and vision), and the option of Short and Long-Term disability insurance.
 

About Bierman Autism Centers:

Our goal is to fuse science and learning to accelerate progress and transform lives. We were established in 2006 with a simple focus on providing excellent therapy for children with autism and building a unique and fun environment for team members and children to thrive. We live by the culture we've created and our core values: to create a fun and stimulating learning environment, empower individuals and treat them with kindness, integrity, and respect, never sit still, achieve, and continuously raise the bar, team above the individual, build a sustainable organization that leaves a meaningful impact on lives, and adhere to our core principles without compromise.
 

Bierman Autism Centers values diversity in the workplace. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry, or any other status protected by law.
 

Furthermore, Bierman Autism Centers is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information, or any other status protected by law.
 

As an equal opportunity employer, Bierman Autism Centers does not discriminate against qualified individuals with disabilities. If you require a reasonable accommodation as a candidate for employment, please inform a member of the Talent Acquisition team.