Billing Administrator - Advantage Behavioral Health : Job Details

Advantage Behavioral Health is the parent company to Harmony Bay and Victory Bay providing Behavioral Health and Management Services across the United States. Our mission is to provide convenient and affordable behavioral health services while creating an unmatched experience for our clients and staff. Position Title: BILLING ADMINISTRATOR Reports to: BILLING MANAGER Department: BILLING Date: 4/2/2024 Category: NON-EXEMPT / HOURLY Revised: General Description The Billing Administrator will manage accounts receivable billing and collection of payments for all designated payers at designated locations, making sure payments are reconciled in a timely and accurate manner. Tasks & Responsibilities A. Essential Duties

Responsible for processing and posting incoming payments, reconciling receipts, and adjusting patient accounts.

Resolves denials, produces secondary claims, and appeals against payment discrepancies.

Conducts 835 electronic payment matching. Resolves payments with missing EOB.

Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials and more. Rework claims and resubmit as needed.

Contact patients, insurance, or third-party administrators when clarification of information is needed to successfully post payment.

Works on recoupment accounts to settle.

Demonstrates a high degree of accuracy and analytical skills

Ability to multitask and manage time effectively.

Comply with all legal and regulatory policies and procedures.

B. Additional Duties

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.

C. Interpersonal Relations

Create Meaningful Connections: Demonstrates ability to function effectively as a part of team. Uses outstanding oral and written communication with employees at all levels of the business for support and sharing of information.

Take Accountability: Take constructive feedback and prevent discourse among our peers.

Live in the Solution: Critically thinking should be the solution when problems arise. Having the ability to accepts constructive criticism well in an open and non-defensive manner.

Be Professional: Wear business casual attire (please see dress code policy).

Competencies

Adaptability

Customer Service

Decision Making

Dependability

Ethics

Interpersonal Skills

Job Knowledge

Conflict Management

Organization Skills

Productivity

Self-Development

Teamwork

Performance Standards & Measurement

Compliance with essential and incidental duties; compliance with company policies and procedures.

Compliance with state and federal laws and regulations applicable to the business.

Equipment, Tools & Machines

• Use of computer, telephone, and other office equipment such as a printer and fax.

• Use of company network and email domain.

Working Conditions

• Air conditioned and well-illuminated office environment and outdoor environment.

• May have several responsibilities at once. Interaction with other is constant and can be interruptive.

• Work may be stressful at times due to high level workflow.

• Availability to work flexible hours including weekends, holidays, and evenings as is required to comply with the purpose of the job and accommodate client needs.

• Participates in educational training, orientations, or compliance programs as needed to maintain competency.

• If you must leave your employment with our company, we request employee's to give us at least 14 days resignation notice in writing.

Demands

• Enthusiastic self-starter operating with sustained energy and showing great initiative.

• Comfort working with a diverse base of support, including members, employers, providers, colleagues, community leaders, volunteers, non-profit organizations, vendors, etc.

• Excellent interpersonal and communication skills, including ability to read, write, spell in English legibly and without excessive grammatical or communication errors.

• Talk and hear both by person and by telephone; ability to speak clearly and effectively using proper grammar before patients, employees and business partners, among others.

• Excellent organizational skills.

• Accepts constructive criticism well in an open and non-defensive manner.

• Ability to manage conflicting priorities. Ability to maintain a positive work ethic and a congenial attitude in the face of a high-pressure environment.

• Ability to function independently and with flexibility.

• Ability to work under pressure, handle multiple tasks and interruptions.

• Occasional lifting of moderately heavy office supplies; ability to lift supplies for community events, trade shows, conferences, and other marketing opportunities applicable to the organization; ability to lift, push or pull up to 25lbs.

• Ability to sit, stand, or walk for extended periods of time.

• Must have strong computer skills to meet Microsoft Office and Electronic Health Record software requirements.

Qualifications Education:

• High School Diploma or equivalent

Experience:

• Experience in medical field is highly desirable.

• Computer literate: Microsoft Office (Excel, Word, and PowerPoint) required.

Acknowledgement The company provides equal employment opportunities to all employees for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Advantage Behavioral Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.