Billing & Reconciliation Specialist

Bierman Autism Centers•Indianapolis, IN

2h•Onsite

About The Position

We’re building ‘the’ Teaching Hospital for pediatric therapy — a category of one by driving excellence in outcomes, developing clinicians, building payer trust, and embedding systems across what we do. As a member of the Billing & Payment Posting Team, you will split responsibilities between billing services and posting/reconciling payments. While the typical workload will be evenly divided (approximately 20 hours each week per function), there may be weeks where the balance shifts depending on department needs. Success in this role is measured by your ability to bill claims accurately and on time, and to ensure payments are posted and reconciled promptly. Your work supports cash flow, enables accurate financial reporting, and helps sustain continuity of care for families.

Requirements

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

Nice To Haves

Associate or bachelor’s degree in healthcare administration, business, or accounting preferred.
Minimum 2 years of experience in healthcare billing, payment posting, reconciliation, or revenue cycle operations (ABA experience preferred).
Familiarity with payer billing requirements, CPT/HCPCS and modifier codes, ERA/EOB formats, and denial codes.
Experience with RCM systems and clearinghouse platforms; Central Reach experience highly preferred.
Strong organizational skills, attention to detail, and ability to manage multiple priorities.
Strong problem-solving skills, persistence, and resilience in a fast-paced environment.
Effective communication and interpersonal skills with a collaborative mindset.
Proficiency in Microsoft Office Suite, particularly Excel.

Responsibilities

Prepare, review, and submit claims accurately in compliance with payer rules, coding standards, and internal 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 to ensure 75% of monthly services are billed within the same month and 90% by the first run of the following month.
Re-bill claims promptly when notified of insurance changes, meeting turnaround requirements.
Monitor clearinghouse rejections, correct errors, and resubmit to minimize delays.
Collaborate with Credentialing, Eligibility, Authorization, and AR teams to resolve front-end issues contributing to billing delays or denials.
Post payments from ERAs/EOBs into the billing system within established turnaround times, ensuring accuracy.
Reconcile daily cash receipts across payers, bank deposits, and system records.
Identify, log, and categorize all denials during posting, routing to AR for follow-up.
Monitor unapplied cash and resolve posting variances promptly.
Collaborate with AR, Billing, and QA teams to address recurring issues and prevent errors.
Maintain detailed documentation of payment posting and reconciliation activities for audit readiness.
Maintain accurate documentation across billing and reconciliation functions.
Support leadership by providing data and insights on billing and payment trends.
Actively identify opportunities to reduce recurring errors and contribute to root cause solutions.
Uphold HIPAA compliance and confidentiality standards in all work.
Contribute to process improvement initiatives to streamline billing and payment workflows.