🌟 Now Hiring: Billing Specialist 🌟
📍 Toms River, NJ
🕘 Full-Time / On-Site
Who We Are
At
Above & Beyond Therapy, we specialize in providing compassionate, high-quality ABA therapy to children with autism and developmental needs. Our clinics are warm, joyful spaces where families feel supported and where our teams work together with purpose and heart. If you’re a detail-oriented, people-loving professional who thrives in a fast-paced environment—come grow with us!
💼 About The Role
The
Billing Specialist is responsible for accurately and efficiently managing all aspects of billing and claims submission for HMO insurance plans. This role ensures timely reimbursement for services rendered and maintains compliance with payer-specific guidelines. The specialist works closely with clinical, administrative, and insurance teams to support the financial health of the organization.
🌟 Key Responsibilities
- Submit and track HMO claims for ABA therapy services via electronic and paper methods
- Verify HMO eligibility and benefits for new and existing clients
- Ensure accurate CPT code usage and adherence to insurance policies and ABA billing requirements
- Follow up on unpaid or denied claims; prepare and submit appeals as needed
- Post insurance payments and adjustments; reconcile accounts and manage patient balances
- Communicate with insurance carriers, clients, and internal staff regarding billing inquiries
- Stay updated with current HMO plan changes, state regulations, and payer-specific requirements
- Collaborate with the clinical team to ensure documentation supports claim submissions
- Maintain strict confidentiality of client and company financial data
- Assist with monthly reports and audits as needed
🎯Qualifications
- High school diploma or equivalent (required); associate degree in healthcare administration or related field (preferred)
- Minimum 2 years of experience in medical billing, with at least 1 year focused on HMO plans (ABA billing experience strongly preferred)
- Proficient in billing software and electronic health records (EHR); experience with systems such as CentralReach or similar is a plus
- Knowledge of ICD-10, CPT, and HCPCS coding standards
- Strong understanding of insurance terminology and reimbursement processes
- Excellent attention to detail and organizational skills
- Effective verbal and written communication skills
- Ability to work independently and in a team-oriented environment
💙 Why Join Us?
- Meaningful Impact: Experience the reward of changing children’s lives and supporting families, backed by the latest ABA best practices.
- Positive Culture: We foster collaboration, open communication, and a supportive environment so you can thrive every day.
- Grow Your Career: We provide training, mentorship, and advancement opportunities
✅ Benefits & Perks
- Competitive pay based on experience
- 401(k) with company match
- Medical, dental, and vision insurance
- Life insurance
- Paid maternity leave
- Paid time off
- Paid legal holidays (6 per year)
🎯
Sound like a fit?
Apply today to join our headquarters as a Billing Specialist to help us go Above & Beyond for every family we serve.
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