Advantage Behavioral Health · 1 week ago
Billing Specialist
Marlton, NJ
Full-time
Onsite
Entry Level
1+ years expAdvantage Behavioral Health is seeking a Billing Specialist to support their Revenue Cycle Department. The role involves managing a high volume of claims, ensuring timely billing and collection processes, and maintaining compliance with billing standards.
Health CarePsychologyWellness
Responsibilities
Generates insurance claims and collects outstanding insurance balances
Prepare and submit accurate OON claims for residential behavioral health services (Residential Billing only)
Submits appeals and reconsiderations to insurance companies
Makes follow-up calls to the insurance companies on accounts with outstanding balances
Maintains standards to ensure systematic, consistent, and timely collection follow-up
If claims are denied by the third-party payer, the medical billing specialist must investigate the claim, verify its information, and update the database
Ensure medical records needed for billing purposes are in client’s charts and/or submitted
Completes all payer rejections in a timely manner in accordance with department standards
Identifies, separates, and mails claims that require paper submissions for timely submission
Monitors provider enrollments to assure that claims process correctly to ensure timely reimbursements
Reviews, researches, and amends correspondence/explanation of benefits and makes appropriate adjustments to accounts
Identifies and communicates possible system and reimbursement problems to facilitate an efficient and accurate review of the payers
Meets billing compliance standards
Contact insurance carriers to have claims reprocessed in accordance with contracts and plan benefits
Protects Facility value by keeping collection information confidential
Update job knowledge by participating in continuing education opportunities
Review billing reports identify areas that need attention
Provide supervisor with follow up from billing reports
Bi-weekly supervision
Assists and covers other staff when necessary to maintain high productivity and efficiency in the department
As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly
Qualification
Required
High School Diploma or equivalent
Billing and Coding Certification from one of the following national certification exams: American Medical Billing Association - Certified Medical Reimbursement Specialist (CRMS) Board Exam, AAPC - Certified Professional Coder's (CPC®), Certified Outpatient Coder (or CPC-HCOC™), Certified Inpatient Coder (CIC™), or Certified Professional Medical Auditor (CPMA®) Board Exam, American Health Information Management Association - Certified Coding Associate (CCA®), Certified Coding Specialist (CCS®), or Certified Coding Specialist Physician-Based (CCS or CCS-P®) Board Exam
Minimum of 1 year experience in Billing and Coding
CPT and ICD coding experience
Computer literate: Microsoft Office (Excel, Word, and PowerPoint) required
Company
Advantage Behavioral Health
Advantage Behavioral Health is a comprehensive network offering treatment for a wide range of mental health conditions.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Clearview Capital
2025-04-03Private Equity
Leadership Team
Brent Reese
Co-Founder, Manager
AJ Solomon
Executive Chairman
Recent News
Behavioral Health Business
2025-08-29
Behavioral Health Business
2025-04-05
2025-04-03
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