Behavioral Health Billing Specialist

About Us:

We are a community-centered outpatient behavioral health practice dedicated to providing compassionate and quality mental health services in Southwest Philadelphia. We’re committed to professional integrity, patient confidentiality, and accurate revenue cycle management—and we’re looking for an experienced Billing Specialist to help support that mission.

Position Overview:

The Behavioral Health Billing Specialist will be responsible for accurate claims submission, denial management, AR follow-up, and communication with payers. This role demands hands-on expertise in behavioral health billing, especially with Medicare, Medicaid, and commercial insurance, and coordination with our offshore billing team. You’ll play a crucial role in maintaining financial accuracy and supporting clinical and administrative operations.

Key Responsibilities:

• Submit timely and accurate claims for outpatient behavioral health services

• Manage accounts receivable (AR) and follow up on unpaid or denied claims

• Correct and resubmit denied/rejected claims

• Coordinate with billing team abroad and support AR clean-up efforts

• Communicate with payers (Medicare Part B, Medicaid, commercial) to resolve issues

• Ensure compliance with HIPAA and payer regulations

• Maintain up-to-date billing records in ICANotes and billing software

• Collaborate with clinical and administrative staff to resolve billing inquiries

Required Qualifications:

• 3–5 years of behavioral health billing experience (mandatory)

• Proficient in ICD-10, CPT coding, and EOB interpretation

• Strong understanding of payer requirements (Medicare, Medicaid, CBH, CCBH, etc.)

• Experience using EHR and electronic billing platforms (ICANotes preferred)

• Ability to work independently and communicate with remote team members

• Must pass an FBI and Pennsylvania Background Check

Preferred Qualifications:

• Certification in medical billing/coding (e.g., CMRS, CPB)

• Prior experience with CBH/CCBH claims submission

• Experience generating financial and billing reports

• Familiarity with small practice billing environments

Compensation & Schedule:

• Pay: $21.00 – $23.00/hour (based on experience)

• Hours: 12–18 hours/week

• Work Location: On-site in Philadelphia, PA 19148

• Growth opportunities based on performance and business needs

Application Question:

• What is your experience filing claims with CBH and CCBH?