The Billing Specialist manages ABA claims billing, ensuring accurate submission, payment reconciliation, denial resolution, and clean accounts receivable.
About Lumary
Lumary is a high-growth global healthtech company on a mission to revolutionise technology for the healthcare industry. We do this by developing solutions that support and empower service providers, working together to ensure better outcomes for people that need care. This commitment to partnership has been a key part of our success so far, and we are driven to continue evolving our products and our people so we can impact the healthcare community to thrive on a global scale.
Join Lumary and grow with us
- Well-established team working across Australia, USA & Philippines
- Servicing 200+ enterprise and SMB healthcare service providers (NDIS, aged care, allied health, ABA)
- 80k+ people using our core platform every day, supporting 500k+ care recipients via Lumary
- $6B NDIS funds processed through Lumary platform on an annual basis
- Be part of a high performing and purpose driven team solving a global issue for a highly addressable market
You will be working in an agile and start-up environment, with plenty of opportunities for you to lean in and develop your skills to make a meaningful contribution to Lumary’s mission and your career development. We push ourselves to build innovative products and deliver a first-rate customer experience to enable better outcomes for healthcare providers and their clients receiving care.
Our culture evolves with us on our scale-up journey. We focus on connection and building deep relationships with each other. We act in service of others to enable collective success and support. We think strategically and take ownership in our domains at every level. We remain positive and adaptable through change and growth.
You will find yourself quickly growing in your career, led by you and supported by us, and backed by a collaborative team that is open to new ideas and encourages everyone to bring their best selves to work.
About the Role
The Billing Specialist is a vital member of the Lumary RCM Department, responsible for managing the full lifecycle of ABA claims billing and follow-up. This role ensures that claims are submitted accurately and timely, payments are properly posted and reconciled, and denials are addressed promptly. The Billing Specialist works collaboratively with providers and internal teams to maintain a clean accounts receivable and maximize revenue collection.
- Ensure accurate and timely submission of primary and secondary claims.
- Work on post insurance payments and reconcile payment data.
- Monitor and resolve claim rejections and escalate for assistance as needed.
- Work claim denials ensuring all denials are addressed within 3 days of remittance advice posting.
- Monitor and address assigned tasks in Lumary, including provider communications.
- Identify and report developing claim issues or patterns, escalating to leadership.
- Review and manage overpayments, initiate recoupment processes when necessary, and ensure payers post reconciliations appropriately.
- Audit each month in the quarter for missed billing and unacknowledged claims.
- Coordinate with providers to write off un collectable claims after thorough appeals process.
About you
- Experience in ABA or behavioral health billing preferred.
- Strong understanding of the medical claim lifecycle and payer reimbursement processes.
- Prior experience in Medicaid Billing.
- Experience in the ABA industry is preferred.
- Familiarity with ERA/EOB processing and electronic claim submissions.Detail-oriented with a high level of accountability and follow-through.
- Brings a solutions-first mindset, by asking the right questions and collaborating with senior team members to find resolutions.
Lumary’s Core Values
- We ‘Lead with an open heart’ assuming positive intent and being courageous
- We ‘Start with the end in mind’ focussing on long-term impact of our actions and decisions
- We ‘Take action in uncertainty’ by proactively taking the next best step and exercising autonomy
- We ‘Enable others for our collective good’ through kindness and a team-first approach
Benefits of Working With Lumary
- Flexibility to work from home and the office - hybrid working environment if based at on office location in Adelaide, Sydney or Denver, alternatively fully remote if not employed at an office location
- Flexible start and finish times - have a routine but on the days you need to book an appointment or finish early, go for it
- Monthly town halls for connection and company alignment
- Monthly dedicated Social Connection days
- Quarterly employee engagement surveys (currently at 78% engagement and trending upwards)
- 70-20-10 rule of learning adopted org-wide
- Own your personal and professional development and work with an internal coach or mentor (of your choosing) to support you on your life journey
- Internationally growing company working towards a purposeful vision: Empowering sustainable healthcare
Working at Lumary
We are proud of the work we are doing and the team we have built so far.
Join us and be part of a team working together to do better. From the advanced products we build to our philanthropic work, we connect with the belief that what we do every day is positively impacting the lives of our community.
At Lumary, we value diversity and believe in a culture of inclusivity, regardless of race, religion, age, gender identity, sexual orientation, physical or mental ability, or ethnicity. We are committed to building a welcoming workplace where everyone feels safe, valued and respected.
The successful candidate will be required to undergo employment screening checks relevant to the healthcare industries we serve.
Top Skills
Aba Billing
Electronic Claim Submissions
Era/Eob Processing
Medicaid Billing
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