ABA/Behavioral Health Billing Specialist

Owen Health Care•Union, NJ

13d•Onsite

About The Position

Owen Health Care Inc. is seeking a knowledgeable and detail-oriented ABA Billing Specialist to join our growing Revenue Cycle team. This is an excellent opportunity for a billing professional who understands the complexities of ABA and behavioral health reimbursement and wants to make a meaningful impact in a mission-driven organization. As a member of our team, you'll play an integral role in ensuring timely reimbursement for services that support children, families, and individuals with behavioral health and developmental disabilities. At Owen Health Care, we believe every role contributes to exceptional patient care. Our billing professionals are valued members of our healthcare team, ensuring our clinicians can focus on delivering outstanding services while maintaining a healthy revenue cycle.

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.

Nice To Haves

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

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.