Medical Billing Specialist | Accounts Receivable
LENAPE VALLEY FOUNDATION
Summary
Join Our Team Lenape Valley Foundation (LVF) is experiencing continued growth across our behavioral health and human services programs, creating exciting opportunities within our Revenue Cycle team. As we expand our services, we are seeking experienced Medical Billing Specialists with strong accounts receivable and denial management expertise to play a critical role in supporting access to care within a stable, mission-driven organization This position is primarily on site, allowing for hands-on training, real-time support, and strong team connection. (Hybrid flexibility may be available after training, based on performance and department needs.)
Job description
What You Bring
- 2+ years of medical billing and revenue cycle experience (Level II consideration)
- 3+ years of behavioral health billing experience preferred for Level III consideration
- Knowledge of CPT, ICD-10, HCPCS coding, and insurance regulations
- Experience with EHR/EMR systems and payer portals
- Strong understanding of Medicare, Medicaid, managed care, and commercial insurance reimbursement methodologies
- Experience with accounts receivable follow-up, denial resolution, and payer collections preferred
- Exceptional attention to detail, problem solving, and follow through
- HS Diploma or equivalent
Your Role
Depending on experience and expertise, candidates will be considered for either Medical Billing Specialist II or III. Both levels manage the full revenue cycle for behavioral health services while ensuring accurate reimbursement and compliance.
- Prepare, review, submit, and monitor claims through adjudication and payment resolution
- Post payments and reconcile remittances, EFTs, and unapplied cash
- Conduct proactive accounts receivable follow-up to resolve outstanding balances and maximize reimbursement
- Investigate, appeal, and resolve denied, underpaid, and rejected claims
- Analyze aging reports and prioritize collection activities to reduce outstanding A/R and days in receivables
- Research payer trends and reimbursement issues to improve collection outcomes
- Collaborate with clinical, provider, and operational teams to secure documentation needed for successful claim resolution
- Ensure compliance with HIPAA, payer requirements, and billing regulations
Advanced Responsibilities for Level III Candidates
- Resolve highly complex denials, underpayments, takebacks, voids and aged accounts receivable issues
- Lead escalation efforts with payers to recover outstanding reimbursements
- Analyze A/R and denial trends to identify root causes and improve cash collections
- Partner with leadership on revenue recovery and reimbursement optimization initiatives
Requirements
- 2+ years of medical billing and revenue cycle experience
- 3+ years of behavioral health billing experience preferred
- Knowledge of CPT, ICD-10, HCPCS coding, and insurance regulations
- Experience with EHR/EMR systems and payer portals
- Strong understanding of Medicare, Medicaid, managed care, and commercial insurance reimbursement methodologies
- Experience with accounts receivable follow-up, denial resolution, and payer collections preferred
- Exceptional attention to detail, problem solving, and follow through
- HS Diploma or equivalent
Benefits
- DailyPay
- Paid training
- Paid holidays
- Medical, Dental & Vision
- 403(b) retirement plan
- Flexible Spending Account
- Student loan assistance
- Continuing education support
- Employee Assistance Program
- Paid time off
Company overview
Lenape Valley Foundation is a comprehensive mental health care organization providing essential behavioral health services to communities in Pennsylvania. As a dedicated healthcare provider, the foundation offers a wide range of mental health and substance abuse treatment programs designed to support individuals and families facing behavioral health challenges. Their services typically include outpatient counseling, crisis intervention, psychiatric evaluations, medication management, and community-based support programs. The organization focuses on delivering accessible, quality mental health care while promoting mental wellness and recovery through evidence-based practices. Lenape Valley Foundation plays a crucial role in addressing the mental health needs of its community by providing integrated care that combines clinical expertise with compassionate support. Their mission centers on improving mental health outcomes and enhancing the quality of life for those they serve through comprehensive treatment approaches and community education initiatives.