Billing Specialist

ABOUT SLEA: SLEA Therapies is a 100% employee-owned organization that is comprised of valued interdisciplinary professionals dedicated to creating brighter futures for our clients and their families. Here at SLEA providing a warm, supportive environment is at the heart of everything we do; and we strive to be a preferred employer through upholding core values of quality services, teamwork, flexibility, transparency, and having fun!

That's why you will see we are verified by Top Workplaces! Our Employee feedback has earned 2025 awards for: Work-Life Balance, Employee Appreciation, Professional Development, Innovation, Leading with Purpose and Values and more! We love what we do, and are looking for compassionate, life-long learners to join our team!

SLEA also puts transparency and trust in the hands of every employee. We operate by the Great Game of Business Principles and lead with financial transparency so all employees are informed on company health, goals, strategic roadmaps, and more. We believe that with transparency, every employee understands their individual value, the "why" in our approach, and has the opportunity to contribute ideas so we can make decisions together.

JOB SUMMARY:

Speech, Language and Educational Associates (SLEA) is a multidisciplinary therapy agency providing Speech, Occupational Therapy (OT), and Applied Behavior Analysis (ABA) services funded through insurance. The Billing Specialist owns the full insurance claims lifecycle across all three service lines. The role is responsible for accurate and timely claim submission, denial and appeals management, payment posting, and reconciliation across the agency’s clinical and financial systems. Working daily in the EMR, the clearinghouse, and NetSuite, the Billing Specialist serves as the bridge between clinical billing data and financial recording, ensuring claims are paid correctly and revenue is captured and recorded accurately. This team member will complete all tasks while upholding the SLEA mission, purpose, values, and culture.

SKILLS/QUALIFICATIONS

Strong attention to detail and accuracy with numbers. Working knowledge of CPT, ICD-10, and HCPCS coding. Demonstrated ability to manage a full billing workload independently, including claims, denials, payment posting, and A/R follow-up. Strong understanding of insurance payer rules, EOBs/ERAs, and the appeals process. Ability to work collaboratively across clinical and administrative teams while maintaining confidentiality of sensitive client and health information in compliance with HIPAA. Proficient in EMR/practice management systems, clearinghouse platforms, and Microsoft Word, Excel, and Outlook.

EDUCATION and/or EXPERIENCE:

Minimum of a High School Diploma or equivalent required; some college coursework or additional training in medical billing, healthcare administration, or a related field preferred. Minimum of 2 years of medical insurance billing experience, including claims submission through a clearinghouse, prior authorization management, and payment posting/reconciliation. Knowledge of ABA, Occupational Therapy, and Speech Therapy service lines is helpful for accurate coding and claims handling. Must have experience working within an EMR/practice management system and managing prior authorizations and unit/visit tracking.

Required:

• Working knowledge of CPT, ICD-10, and HCPCS coding and how they affect claims.
• Hands-on experience submitting and managing claims through a clearinghouse.
• Experience working within an EMR / practice management system.
• Experience managing prior authorizations and unit/visit tracking.
• Strong understanding of insurance payer rules, EOBs/ERAs, and denial/appeal processes.
• Strong attention to detail and accuracy with numbers.
• Ability to work independently and manage a full workload without close supervision.
• Ability to maintain confidentiality of sensitive client and health information (HIPAA)
• Bilingual English/Spanish.

Preferred:

• Billing experience in pediatric or therapy services, specifically ABA, Speech, and/or OT.
• Familiarity with authorization-heavy, unit-based service billing.
• Experience with NetSuite or another ERP/accounting system for payment posting and reconciliation.
• Professional billing/coding certification: CPB (Certified Professional Biller, AAPC), CPC (Certified Professional Coder, AAPC), or CCS (Certified Coding Specialist, AHIMA).
• Experience transitioning billing in-house from a third-party vendor.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle, or feel; and talk or hear. The employee frequently is required to stand; walk; reach with hands and arms. The employee is periodically required to bend, stoop, reach, kneel, crouch, or crawl, lift and/or carry up to 25 pounds; climb a step stool to reach above head. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

ESSENTIAL DUTIES AND RESPONSIBILITIES including the following. Other duties may be assigned. Employee performs all, part, and/or combination of the duties listed below.

Claims Submission & Management

• Prepare, review, and submit primary and secondary insurance claims through the clearinghouse.
• Verify charges, codes, units, and patient/insurance data for accuracy before submission.
• Ensure claims align with active authorizations and payer-specific rules for each therapy type.
• Track claim status from submission through adjudication; resubmit or correct as needed.

Denials, Rejections & Appeals

• Review and work claim denials and rejections daily; identify root causes.
• Prepare and submit appeals with supporting documentation.
• Track denial trends by payer and service line; flag recurring issues to leadership.

Payment Posting & Reconciliation

• Post insurance payments, adjustments, and remittances (ERAs/EOBs).
• Reconcile payments and revenue between the EMR, the clearinghouse, and NetSuite.
• Investigate and resolve discrepancies across systems.

Accounts Receivable

• Manage and follow up on aged/unpaid claims; work A/R aging reports.
• Pursue underpayments and ensure correct reimbursement per payer contracts.

Patient Billing

• Generate and review patient statements for balances after insurance.
• Respond to patient billing inquiries and resolve disputes.

Compliance & Reporting

• Maintain compliance with HIPAA and applicable payer and regulatory requirements.
• Produce regular reports on claims volume, authorization utilization, denial rates, A/R aging, and collections.
• Keep documentation of billing processes current.

SLEA Therapies provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

We are looking for team members who this resonates with, and who want to grow with SLEA as we strive to always learn, and improve.

https://topworkplaces.com/company/slea-therapies/

https://www.sleatherapies.com/

Pay: $23.00 - $27.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Application Question(s):

• This position requires the employee to be in person. Are you able to work in person?
• Do you have working knowledge of CPT, ICD-10, and HCPCS coding and how they affect claims?
• Do you have hands-on experience within an EMR/practice management system?
• Do you have experience working within an EMR / practice management system?
• Do you have experience managing prior authorizations and unit/visit tracking?
• Do you have a strong understanding of insurance payer rules, EOBs/ERAs, and denial/appeal processes?
• Do you have a strong attention to detail and accuracy with numbers?
• Do you have the ability to work independently and manage a full workload without close supervision?
• Do you have the ability to maintain confidentiality of sensitive client and health information (HIPAA)?

Language:

• Spanish (Required)

Work Location: In person

Salary : $23 - $27