Billing Specialist

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.

About ten years ago, Lumary’s founder and CEO was building custom Salesforce solutions for therapy practices in Australia focused on care for the elderly and disabled.  As demand grew and he hired a team, Lumary was formed and created a dynamic set of products to help practices in this part of the healthcare space to scale.

After significant growth in Australia, Lumary launched into the US ABA space.  Here, we primarily serve companies who provide help to children and adults with autism through ABA therapy, but also occupational, physical, and speech therapy among others. Lumary provides a full practice management solution to our clients.

Our clients in the ABA space are truly special.  Many of them started from a single BCBA whose love and skill for her clients created demand that led her to starting a company.  It’s typical for a single founder to grow over a short time to build a company of 50, 100, 500, up to thousands of staff, all dedicated to the mission of serving a community of clients with autism who nearly always are in need of high quality and accessible therapy.

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.
This role reports to the Director, Revenue Cycle Management.

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

Skills can be taught, but values are lived. At Lumary, our core values aren't just posted on our website and covered once at induction, they guide every decision we make and every interaction we have. We look for team members who naturally resonate with these principles, not just a list of qualifications or experience. If these values speak to you, you’ll likely find that you thrive in our environment.
• We ‘Lead with an open heart’ - meaning we cultivate trust even when there is no trust, assume good intentions and have the courage to be vulnerable.
• We ‘Start with the end in mind’ - meaning we focus on the long-term impact of our actions, making decisions with purpose and sustainability in mind.
• We ‘Take action in uncertainty’ - meaning we are proactive in taking the next best step in uncertainty and complexity, exercise autonomy and we learn by doing.
• We ‘Enable others for our collective good’ - meaning we are kind and act in service of others. When we take care of ourselves and each other we take care of the community.

Benefits of Working With Lumary

• Flexibility to work from home and the office - hybrid working environment if based at on office location in Denver, alternatively fully remote if not based near Denver
• 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 82% engagement and trending upwards)
• Internationally growing company working towards a purposeful vision: Empowering sustainable healthcare
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.