ABA/Behavioral Health Billing Specialist

About the role

The ABA Billing Specialist plays a crucial role in ensuring timely reimbursement for ABA and behavioral health services at Owen Health Care Inc., a state-licensed healthcare agency accredited by The Joint Commission.

Responsibilities

• Prepare, review, and submit clean electronic claims for ABA and behavioral health services through payer portals.
• Monitor claims through the entire revenue cycle to ensure timely reimbursement.
• Post Electronic Remittance Advices (ERAs), reconcile payments, and balance daily deposits.
• Manage accounts receivable and aggressively follow up on outstanding balances.
• Investigate, appeal, and resolve denied or underpaid claims.
• Communicate with insurance companies to resolve billing discrepancies and expedite payment.
• Track authorizations and notify clinical staff of upcoming renewals to prevent interruptions in client services.
• Maintain accurate billing records and documentation in accordance with payer and regulatory requirements.
• Produce key performance indicator (KPI) reports for leadership regarding collections, denials, aging, and reimbursement trends.
• Identify workflow improvements that increase billing accuracy and operational efficiency.
• Assist with billing audits, compliance reviews, and payer documentation requests.
• Cross-train team members to ensure business continuity and departmental support.
• Collaborate closely with clinicians, intake staff, authorizations, and leadership to ensure seamless revenue cycle operations.

Requirements

• Minimum of two (2) years of ABA, behavioral health, or healthcare billing experience.
• Experience with CentralReach, SimplePractice, Waystar, or comparable practice management and billing systems.
• Working knowledge of Medicaid, DDD, DCF, commercial insurance, and managed care billing.
• Strong understanding of ABA CPT codes, modifiers, authorizations, and documentation requirements.
• Experience with claims submission, payment posting, denial management, and accounts receivable follow-up.
• Strong organizational skills with exceptional attention to detail.
• Excellent analytical, problem-solving, and communication skills.
• Ability to prioritize multiple tasks while meeting deadlines.
• Proficiency in Microsoft Office, particularly Excel.

Preferred Qualifications

• Experience with New Jersey Medicaid and DDD billing.
• Experience supporting multiple payer contracts.
• Experience participating in billing audits and compliance initiatives.