Medical Billing Specialist (ABA)

The role

This person will clean, review, and submit claims for behavioral health providers with a focus on autism services. They will monitor claim status, resolve denials, and manage patient responsibility.

What you will do

• Clean, review, and submit claims for behavioral health providers, with a focus on autism services.
• Monitor claim status and proactively follow up on delayed, unpaid, and denied claims.
• Research payer portals and call payers to clarify denials, resolve claim issues, and complete disputes and reconsiderations.
• Review EOBs and verify payments and adjustments are accurately posted to claims.
• Manage patient responsibility, including co-pays and co-insurance.
• Partner with Insurance Operations, Customer Experience, and Engineering to resolve billing issues and improve workflows.
• Identify opportunities to improve billing processes and communicate relevant payer or workflow changes to leadership.
• Collaborate live with team and cross-functional partners via Zoom meetings.

Required qualifications

• 3–5 years of RCM experience, including billing for commercial and Medicaid plans
• Experience with claim submission, payment posting, denials, corrections, disputes, and appeals
• Experience working with electronic medical record and practice management systems
• Experience working with clearinghouses and payer portals
• Strong understanding of insurance billing and revenue cycle processes
• Strong attention to detail
• Ability to be on camera during live meetings

Nice to have

• experience with multi-specialty billing and/or ABA

About the company

Camber builds software to improve the quality and accessibility of healthcare. They streamline and replace manual work so clinicians can focus on providing care.