Outpatient Billing Coordinator

Behavioral Health Associates (BHA) empowers clients by providing comprehensive and compassionate mental health services for all clients, regardless of the circumstances. How we approach this incredible tasks changes constantly. At the heart of every decision we make is each client that comes to BHA. Now is your opportunity to become part of the BHA community! 

We are seeking a detail-oriented and experienced full-time, Billing Coordinator to oversee the full lifecycle of our practice's financial health. You will be responsible for translating clinical actions into codes, submitting clean claims to payers, and ensuring our providers are properly credentialed with insurance networks. The ideal candidate is a problem-solver who understands the intersection of clinical documentation and financial reimbursement.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Review clinical notes to assign accurate ICD-10-CM, CPT, and HCPCS Codes.

Ensure all documentation meets federal and state compliance guidelines.

Collaborate with providers to clarify documentation and prevent "upcoding" or "downcoding" risks.

Submit electronic and paper claims to primary and secondary insurers.

Perform denial management by analyzing "Explanation of Benefits" (EOBs) to appeal unpaid or underpaid claims.

Manage patient billing inquiries and set up payment plans when necessary.

Post payments and reconcile daily financial records.

Manage initial credentialing and re-credentialing process for all providers.

Maintain and update provider profiles in the CAQH database.

Track expiration dates for medical licenses, DEA Certifications, and malpractice insurance.

Act as the primary liaison between the practice and the insurance payer relations departments.

Provider attestation to verify their compliance with laws, accurate demographic data, or specific program requirements, ensuring legitimacy and quality of care, commonly done through portals like Availity or CAQH for data purposes or for specific approvals like provider-based status.

QUALIFICATIONS

1-2 Years of medical billing experience, preferred.

High School Diploma or GED, Associates or Bachelors in Healthcare Administration, preferred.

Active coding certification (e.g., CPC or CCS-P), preferred.

Familiarity with EMR/EHR systems (e.g., eClinicalWorks, Athenahealth, or Epic)

Deep understanding of HIPAA, CMS guidelines, and No Surprises Act.

Ability to problem solve and critically think, specifically with spotting patterns in claim denials to improve the "Clean Claim Rate".

Ability to effectively communicate with all stakeholders.

Effectively explain complex billing issues to patients and providers with empathy and clarity.

Basic computer literacy and proficiency with Microsoft Excel.

Ability to utilize effective verbal and written expression.

Up to date Child Abuse, State Police, FBI, and Mandated Reporter Training Clearances.

BENEFITS

Full Time, Year-Round, In-Person

Family Friendly Schedule - No late evenings or weekends!

Paid Leave for Sick, Personal, and Vacation Days, and a paid day off for your Birthday!

Paid Holidays.

Choice of Two Medical Plans, Dental, Vision and Voluntary Life Insurance.

Company Paid: Group Life Insurance and Employee Assistance Program.

Retirement Plan with Company Match up to 3% of your Annual Salary.

Tuition Reimbursement

Please submit letter of interest, resume, and current clearances to this posting. 

Click Here to complete BHA's Employment Application for Support Staff (Non-Teaching Positions)  

BHA is committed to a diverse and inclusive workplace. BHA is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age or other legally protected status.