Position Description Department:

Administrative Reports To:

Director of Operations, CEO FLSA Status:

Non-Exempt Position Summary The Billing Specialist supports the financial sustainability of Aspire Behavioral Services by ensuring accurate, timely billing and reimbursement for clinical services. This role is responsible for preparing and submitting claims to Medicaid, commercial insurance providers, and private payers, resolving claim issues, managing accounts receivable, and maintaining compliance with payer policies and confidentiality regulations. The Billing Specialist contributes to operational efficiency and access to care by working closely with clinical and administrative staff to support the revenue cycle. Key Responsibilities Claims Management Prepare, review, and submit electronic and paper claims for ABA and therapy services. Ensure accurate use of CPT, HCPCS, and ICD-10 codes in compliance with payer guidelines. Verify claim completeness and resolve data errors before submission. Accounts Receivable & Follow-Up Monitor aging reports and follow up on unpaid, denied, or rejected claims. Post insurance and client payments, adjustments, and write-offs accurately. Initiate and track appeals and resubmissions for denied claims. Eligibility & Authorizations Verify insurance eligibility and benefits prior to service delivery. Track service authorizations and coordinate with clinical staff to ensure continued coverage. Alert appropriate staff to lapsing or denied authorizations. Compliance & Documentation Maintain documentation and records in accordance with HIPAA and payer requirements. Follow internal policies and procedures for billing accuracy and data security. Complete annual compliance trainings and participate in audits as required. Team Collaboration & Communication Coordinate with clinical, scheduling, and administrative teams to resolve billing discrepancies. Communicate clearly with clients and caregivers regarding billing issues, balances, or insurance concerns. Support the leadership team with reporting or special projects as needed. Qualifications High school diploma or GED required; Associate's or Bachelor's degree preferred. Preference given to candidates with experience in billing for ABA, Speech-Language Pathology (SLP), Occupational Therapy (OT), or Physical Therapy (PT) services. Minimum of 2 years' experience in medical or behavioral health billing. Knowledge of Medicaid, managed care, and commercial insurance billing practices. Experience with electronic billing systems (e.g., Kareo, Office Ally, SimplePractice). Strong organizational skills and attention to detail. Ability to handle confidential information in compliance with HIPAA regulations. Excellent verbal and written communication skills. Reliable and self-directed, with the ability to manage time and priorities effectively. Compliance & Training Requirements Completion of HIPAA and cybersecurity training (annually). Successful completion of background and credentialing checks as applicable. Participation in compliance audits and internal quality reviews. Work Environment and Physical Demands Primarily office-based with the possibility of remote/hybrid work depending on organizational needs. Prolonged periods of sitting and computer use. Reasonable accommodations will be provided in accordance with the Americans with Disabilities Act (ADA). Equal Opportunity Employer Statement Aspire Behavioral Services is an Equal Opportunity Employer and is committed to fostering a diverse, equitable, and inclusive workplace. All aspects of employment—including recruitment, promotion, compensation, and benefits—are based on merit and business need. Aspire Behavioral Services does not discriminate on the basis of race, color, religion, national origin, gender identity, sexual orientation, age, disability, veteran status, or any other protected category. Reasonable accommodations will be made in accordance with applicable law.

Job Types:

Full-time, Part-time Pay:

From $45,000.00 per year

Benefits:

401(k) Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance

Work Location:

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