Billing Specialist

About the Company

Advanced Crisis Solutions provides behavior analytic and crisis stabilization services to support people with developmental disabilities, creating sustainable solutions beyond traditional care. We value our team with training, mentorship, and growth opportunities, while fostering a supportive culture of recognition, balance, and mission-driven impact across California.

Position Summary

The Billing Specialist is responsible for accurate, timely, and compliant billing across multiple clinics and funding sources. This role manages Regional Center billing, multi-site invoicing, and billing across multiple service codes while ensuring alignment with authorizations, delivered services, and payer requirements. The Billing Specialist works closely with Accounting, Clinic Directors, and leadership to resolve discrepancies, address delayed billing, and maintain billing integrity.

Essential Functions

• Prepare, submit, and track billing for Regional Centers, insurance payers, and other funding sources, ensuring compliance with payer-specific requirements.
• Manage billing across multiple clinic locations and multiple service codes (e.g., direct, indirect, crisis, respite, and other authorized services).
• Invoice funding sources or providers for services rendered, including tracking submissions, follow-ups, and resolutions.
• Ensure billed services accurately reflect authorized services, service delivery records, and documentation standards.
• Monitor billing timelines to reduce delays, denials, and rework.
• Verify billing accuracy and identify discrepancies against active authorizations, approved service codes, and authorized units or hours.
• Identify billing discrepancies related to authorizations, service codes, units, locations, or documentation.
• Proactively address authorization-related billing delays and escalate unresolved issues to the site specific Director of Operations and VP of Risk & Compliance as appropriate.
• Support compliance and risk mitigation related to healthcare billing practices.
• Collaborate with the Accounting Specialist regarding:
• Billing amounts and unit calculations
• Delayed, pending, or corrected billing
• Reconciliations and revenue tracking
• Collaborate, communicate clearly and professionally with Clinic Directors and clinic leadership to:
• Clarify services rendered, ensure timely resolution of billing issues.
• Resolve discrepancies in billing codes or documentation
• Address questions related to service delivery or authorization alignment
• Maintain organized, accurate, and audit-ready billing records and supporting documentation.
• Provide billing status updates, trends, and issue summaries to the VP of Risk & Compliance as requested.
• Assist with internal audits, payer reviews, and billing-related inquiries.
• Timely Billing Completion:
• All standard monthly billing is completed and submitted no later than the 5th business day of each month.
• With additional billing requirements weekly.
• Delayed Billing Follow-Up:
• Billing delays due to inaccurate, expired, or missing authorizations are identified promptly.
• Follow-up with appropriate internal teams and funding sources occurs immediately upon identification to prevent increased delays in billing.
• Accuracy & Compliance:
• Billing submissions accurately reflect authorized services, service codes, units, and service locations.
• Errors, corrections, and resubmissions are minimized through proactive review and verification.
• Communication & Escalation:
• Billing issues impacting revenue timelines or compliance are communicated in a timely manner to the VP of Risk & Compliance, Accounting Specialist, and Clinic Directors as appropriate.
• Continuous Improvement:
• Trends in delayed billing, authorization issues, or recurring errors are tracked and reported to support process improvements and risk mitigation.

Requirements

• 3+ years of billing experience
• Experience with Regional Center billing
• Experience billing across multiple sites and multiple service codes
• Strong understanding of authorization-based billing and service code compliance
• High attention to detail with strong organizational skills
• Ability to manage deadlines and prioritize tasks in a fast-paced environment
• Strong written and verbal communication skills

Preferred

• Experience in behavioral health, ABA, crisis services, or human services billing.
• Experience with insurance billing, including commercial and/or public payers.
• Experience invoicing funding sources or providers for services rendered, including follow-up on submissions.
• Familiarity with billing platforms and electronic health record systems (e.g., CentralReach or similar).
• Experience collaborating with accounting and clinical leadership teams.
• Understanding of compliance and risk considerations related to healthcare billing.
• Associate’s or Bachelor’s degree in Accounting, Finance, or related field

Working Conditions / Physical DemandsThis position requires prolonged periods of sitting and computer-based work, the ability to work shifts with minimal supervision, and to ensure productivity, confidentiality, and consistent performance.

What We Offer to eligible employees

Full-time - 30+ hours per week

• Paid Time Off (PTO)
• Up to Thirteen (13) Paid Holidays Per Year, additional holiday for Veterans
• Tuition Assistance & Clinical Supervision (for BCBA certification seekers)
• College Book Reimbursement
• 401(k) 4% Match
• Group Medical, Vision, & Dental Benefits
• Health Savings Account (HSA)

All employees

• Mileage Reimbursement
• Free Legal Consultation with an Onsite Attorney
• Wellness program/Employee Assistance Program (EAP)

Reasonable Accommodations Statement

We are committed to providing reasonable accommodations to enable qualified individuals with disabilities to perform the essential functions of this role. Each essential duty must be performed satisfactorily, with or without accommodation.

Pay: $28.00 - $30.00 per hour

Benefits:

• Employee assistance program
• Flexible schedule

Work Location: In person