Medical Billing Specialist ABA

Job Description

Job Description

Medical Billing Specialist (Remote)
Pay: $21–$28 per hour (DOE)

About RightWay ABA

RightWay ABA is a growing Applied Behavior Analysis (ABA) therapy practice serving families across New Jersey through five center locations—Paramus, Piscataway, Jersey City, Pompton Plains, and Tinton Falls—as well as in-home and daycare-based services.

We're expanding our in-house revenue cycle team and are seeking a detail-oriented Medical Billing Specialist to take ownership of weekly claims processing, denial management, and accounts receivable follow-up in a fully remote environment.

About the Role

The Medical Billing Specialist will manage the full billing cycle, from claim submission through denial resolution and payment posting. This role works closely with the Director of Billing, credentialing, and intake teams to ensure timely reimbursement and maintain healthy AR aging.

Benefits & Perks

• Unlimited PTO — Enjoy flexible, unlimited paid time off, provided weekly, monthly, and annual billable requirements are consistently met.

• 401(k) Retirement Plan — Invest in your future with access to our company-sponsored 401(k) program.

• Comprehensive Health Coverage — Medical, dental, and vision insurance available to all eligible full-time employees, with the company covering a portion of the monthly premium.

• Flexible Scheduling — Maintain a healthy work-life balance with flexible scheduling options, subject to a minimum billing requirement of 27 hours per week.

• Fully remote!
  

Responsibilities

• Prepare and submit clean claims on a weekly billing cycle for commercial payers and Medicaid MCOs.

• Manage denials and rejections from start to finish, including corrections, resubmissions, and appeals.

• Resolve denial codes such as CO-96 and CO-197, as well as clearinghouse rejections.

• Post payments and reconcile ERA/835 remittances against expected reimbursement.

• Monitor and reduce accounts receivable aging, prioritizing high-dollar and aging claims.

• Investigate and follow up on unpaid and underpaid claims, including reimbursement discrepancies.

• Verify claim accuracy against authorizations and benefit information before submission.

• Maintain accurate billing records within the practice management system and track denial trends.

• Collaborate with credentialing, intake, and billing leadership to proactively resolve issues.

Requirements

• Minimum of 2 years of medical billing experience, including denial management and AR follow-up.

• Strong understanding of claim submission, ERA/835 remittances, payer adjudication, and appeals.

• Experience working with denial and adjustment codes and clearinghouse workflows.

• Excellent attention to detail and ability to meet deadlines in a fast-paced environment.

• Strong written and verbal communication skills.

• Ability to work independently in a remote setting.

• Reliable high-speed internet connection and a private, HIPAA-compliant workspace.

Preferred Qualifications

• Experience with ABA or behavioral health billing.

• Familiarity with New Jersey payers, including Horizon, Aetna, UnitedHealthcare, and Medicaid MCOs.

• Experience using EMR/practice management systems and workflow tools such as Monday.com.

• Knowledge of ABA CPT codes including 97151, 97155, and 97156.

To apply, please submit your resume along with a brief note describing your relevant experience.

RightWay ABA is an Equal Opportunity Employer.