Qureos Mentor

Training Wheels ABA

<div>Position Summary
The RCM &amp; Billing Specialist is responsible for supporting the day-to-day revenue cycle operations, including billing, claims submission, payment posting, and collections follow-up. This role works closely with the RCM Manager to ensure accuracy, compliance, and timely reimbursement across all payers.
This position plays a critical role in maintaining the financial health of the organization by ensuring clean claims, resolving denials, and identifying areas for process improvement.
Key Responsibilities:
<ul><li>Submit accurate and timely claims to Medicaid and commercial payers
</li><li>Review claims for errors and make corrections prior to submission
</li><li>Monitor claim status and follow up on unpaid, delayed, or denied claims
</li><li>Investigate denials and rejections, identify root causes, and resubmit claims as appropriate
</li><li>Work accounts receivable (A/R) aging reports and assist with collections efforts
</li><li>Accurately post insurance and patient payments and reconcile discrepancies
</li><li>Maintain accurate and compliant billing documentation in accordance with payer and Medicaid guidelines
</li><li>Identify and escalate trends in denials, rejections, or billing issues to the RCM Manager
</li><li>Collaborate with clinical and operations teams to resolve documentation or authorization discrepancies
</li><li>Assist with internal audits and ensure alignment between clinical services and billed services
</li><li>Support workflow improvements and process optimization within the revenue cycle
</li></ul>Work Environment:
<ul><li>Fast-paced, detail-oriented environment with high accountability
</li><li>Requires consistent follow-through and timely resolution of billing issues
</li><li>Frequent collaboration with clinical, operations, and administrative teams
</li><li>Ability to work independently while maintaining strong communication with leadership
</li></ul>Qualifications:
<ul><li>1&ndash;3+ years of experience in medical billing, revenue cycle, or healthcare administration
</li><li>Experience with Medicaid and commercial insurance billing required; ABA experience preferred
</li><li>Strong understanding of claims submission, denial management, and payment posting
</li><li>High attention to detail and accuracy in data entry and documentation
</li><li>Ability to manage multiple priorities in a fast-paced environment
</li><li>Strong problem-solving and critical thinking skills
</li><li>Proficient in EMR/EHR and billing systems (CentralReach experience preferred)
</li><li>Strong communication and collaboration skills
</li></ul>Preferred Qualifications:
<ul><li>Experience in ABA or behavioral health setting
</li><li>Familiarity with CPT codes related to ABA services (e.g., 97153, 97155, etc.)
</li><li>Experience working with Medicaid-specific billing requirements</li></ul></div>

RCM & Billing Specialist

Join Training Wheels ABA and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Training Wheels ABA

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RCM & Billing Specialist