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Focused Behavior Solutions, LLC

Medical Billing Specialist

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Job Description

Focused Behavior Solutions, LLC is seeking a Medical Billing Specialist to join our growing team. We are looking for a detail-oriented, organized, and motivated individual who thrives in a fast-paced environment, takes initiative, and works well both independently and collaboratively. If you are passionate about helping support quality healthcare services and enjoy problem-solving within medical billing and insurance systems, we would love to hear from you. About Us Focused Behavior Solutions is a rapidly growing provider of Applied Behavior Analysis (ABA) services serving families throughout Washington and Nebraska. Our mission is to provide high-quality, compassionate care to children and families while fostering a supportive and team-focused workplace culture. Position Overview The Medical Billing Specialist will play a key role in supporting our ABA therapy operations through accurate billing, insurance follow-up, claims management, authorizations, and administrative support. This position requires strong attention to detail, excellent communication skills, and experience navigating insurance portals, behavioral health billing, and payer requirements. This is a full-time position with standard office hours Monday through Friday between 8:00 AM and 5:00 PM. Opportunities may be available to work from our Lincoln, NE clinic locations. Responsibilities Prepare, review, and submit insurance claims for accuracy, completeness, and eligibility Process claims through electronic clearinghouses and insurance portals Monitor and follow up on denied or unpaid claims Research and resolve billing discrepancies and insurance issues Review accounts receivable aging reports and assist with collections follow-up Maintain accurate billing records and documentation Verify client eligibility, benefits, and authorizations Obtain and track prior authorizations and re-authorizations Assist with insurance contracting and provider credentialing Communicate with insurance companies via phone, secure messaging portals, email, and formal appeals Assist with patient responsibility invoicing and payment tracking Support internal billing audits and compliance reviews Ensure compliance with HIPAA, payer requirements, and company policies Qualifications Minimum of 2 years of medical billing experience required Medical Billing and Coding certification preferred Experience with ABA, behavioral health, or mental health billing strongly preferred Familiarity with CPT 97 codes, Medicaid, and secondary insurance billing preferred Experience with Office Ally, Availity, and insurance portals preferred Strong computer skills including Microsoft Office, Outlook, and Excel Excellent written and verbal communication skills Ability to multitask, prioritize, and stay organized in a fast-paced environment Strong attention to detail and ability to problem solve independently Understanding of HIPAA compliance and healthcare billing regulations Experience with credentialing and insurance authorizations is a plus Willingness to learn ABA-specific software systems and reporting platforms Benefits Competitive compensation based on experience Generous Paid Time Off (PTO) Paid Holidays Medical, Dental, and Vision Insurance Supportive and collaborative team environment Growth opportunities within a rapidly expanding organization Focused Behavior Solutions is an Equal Opportunity Employer.
Job Type:
Full-time Pay:
From $55,000.00 per year
Benefits:
Dental insurance Flexible schedule Health insurance Paid time off Vision insurance Application Question(s): Do you have experience with ABA (Applied Behavior Analysis) Billing?
Experience:
medical billing: 1 year (Preferred)
License/Certification:
Medical Billing Certification (Preferred)
Work Location:
Hybrid remote in Lincoln, NE 68516

Benefits

  • Paid Time Off (PTO)
  • Flexible Work Schedules
  • Health Insurance
  • Dental Insurance