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Billing Specialist
RethinkFirst. Ensure strict HIPAA-compliant confidentiality with all client data and claims .
Posted 5/12/2026full-timeRemote • Alabama, Arizona, California, Colorado, Florida, Idaho, Illinois, Iowa, Montana, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia • 🇺🇸 United StatesJuniorMid-LevelWebsite
About the role
Key responsibilities & impact- Ensure strict HIPAA-compliant confidentiality with all client data and claims
- Manage and operate in multiple different billing platforms dependent on client needs which could include Azalea, Tebra, Central Reach and/or Rethink Integrated Billing Module
- Manage assigned client accounts billing scrubs for primary and secondary claims
- Submit claims electronically for primary and secondary payors
- Solve clearinghouse rejections
- Submit corrected claims for billing errors, rebill projects (new plans/new year, new information on payor policies)
- Maintain account spreadsheets, billing cheat sheets, provider, and billing information including provider roster and payer policy billing rules
- Contribute to updates and communicate to Customer Billing Advocate and other members of POD
- Provide internal reporting to team of status and issues for clients within POD
- Meet internal benchmarks for clean claims / first pass rate, unbilled claims, clearinghouse rejections, secondary claims, and denials for billing errors
- Research specific payor billing rules as needed
- Review client billing documentation to ensure claims are submitted based on payor requirements
- Stay informed about Payor and Industry Billing rules
- Foster a positive work environment for team members
Requirements
What you’ll need- 1-2 years of billing experience in speech, occupational, and ABA therapy.
- Strong knowledge of CPT coding and billing rules for major health insurance companies
- Experience working directly with large insurance companies such as Blue Cross Blue Shield, Cigna, Magellan, etc.
- Proficiently using Billing Software and Clearinghouse systems (Azalea, Kareo, Waystar, TriZetto, Azalea, Central Reach).
- Proficient using Microsoft Suite (Outlook, Excel, Word).
Benefits
Comp & perks- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Denial & Vision benefits package
- 401k + Matching
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingbilling rulesclaims submissionbilling scrubsclearinghouse rejectionscorrected claimsbilling errorsunbilled claimsfirst pass ratedenials
Soft Skills
communicationteamworkproblem-solvingorganizationattention to detailadaptabilitypositive work environment