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.
- Acts as a liaison between the facility and payment parties.
- 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
- Handle P2P accounts
- Payment trend analysis
- Conduct VOB’s
- Meets agency and billing compliance standards
- Review and work EOB items that need follow up (patient or insurance carrier level)
- Review COB needs and work with patients to resolve
- Handle account balance inquiries
- Call 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
- Track all tasks on spreadsheet or other assigned methods
- Complete Credentialing documentation assigned
- Complete EFT/ERA Enrollments and Enrollment Forms
- Bi-weekly supervision
Core Competencies:
- Communication
- Customer Service Oriented
- Dependable & Accountable
- Innovative
- Integrity
- Quality (accuracy)
- Safety Oriented
- Self-Development
- Team Player
Advantage Behavioral Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
