ABH Billing Coordinator

Lakeview Center Inc.; Pensacola (FL); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement Savings Plan (RSP)

Teladoc

Job summary

LifeView Group is seeking a Billing Coordinator to ensure accurate and timely uploading of behavioral health claims within the ABH system. The role requires verifying member eligibility, benefits, and authorizations, and ensuring proper billing to adjudicate claims.

Candidates should have an AA degree or equivalent, 3 years in a medical office, and strong decision-making, organizational, and customer service skills. HIPAA compliance and audits are part of daily responsibilities.

Qualifications

• Associate degree (AA) or equivalent.
• 3 years relevant medical office experience.
• Ability to work independently with good decision‑making.
• Strong organizational skills and ability to prioritize responsibilities.
• Excellent customer service and phone presence.
• Proficient in Microsoft Office.

Responsibilities

• Upload behavioral health claims accurately and timely.
• Verify member eligibility, benefits limits, and authorizations.
• Ensure standard billing practices to adjudicate a claim.
• Provide explanations of benefits to providers.
• Respond to claims inquiries by phone, fax, and mail.
• Develop and maintain relationships with providers.
• Respond to audits within the manager's timeframe.
• Maintain compliance with policies, contracts, and regulations.

Skills

Independent work

Decision making

Critical thinking

Organizational skills

Phone presence

Customer service

Education

AA degree

High school diploma or GED + 5 years experience

Tools

Microsoft Office

Job description

Overview

LifeView Group is a nonprofit human services organization whose Mission is "helping people throughout life's journey." Our 2,500 team members impact lives in multiple states and the District of Columbia. As a parent company, LifeView Group's work encompasses two affiliates - Lakeview Center's behavioral health care and Global Connections to Employment's career services for people with disabilities. Learn more at LifeViewGroup.org.

Primary duty

This hybrid position requires a combination of remote and on‑site work. More details will be provided during the interview process.

This position is responsible for ensuring behavioral health claims are uploaded accurately and timely in the electronic claims processing system and follow State, Federal, Contractual and Agency standards. This position is responsible for verifying member eligibility, benefits limits, and authorizations, as well as, ensuring standard billing practices are met in order to adjudicate a claim. The Access Behavioral Health (ABH) Billing Coordinator is responsible for ensuring accurate explanations of benefits are sent to providers. This position is also required to develop and maintain strong working relationships with providers and respond to claims inquiries over the phone, fax, and mail. The Billing Coordinator is responsible for responding to audits within the specified timeframe given by the manager.

Assignments/tasks are expected to be executed with considerable independence and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.

About LCI with Benefits

Medical * Dental * Vision * Basic Life and AD&D * Voluntary Term Life * Employer Paid Long Term Disability * Flexible Spending Accounts and Health Savings Account * Retirement Savings Plan (RSP) * Employee Assistance Program * Accident Insurance * Group Critical Illness Insurance * Individual Short-Term Disability Insurance * Paid Time Off * Identity Theft Protection * Employee Discount Program * Teladoc

Roles and Responsibilities:

• Associate (AA) degree.
• Three (3) years relevant medical office experience.
• High school diploma or GED with five (5) years related experience may be substituted.
• Thorough understanding of Florida Medicaid regulations and requirements.
• Must have the ability to work independently with good decision‑making skills.
• Must have critical thinking skills.
• Must have strong organizational skills and the ability to prioritize responsibilities.
• Must be able to maintain effective working relationships with internal and external customers.
• Must be extremely detail oriented with a high level of accuracy while demonstrating the ability to resist distractions.
• Position requires a friendly, confident, and knowledgeable phone presence.
• The position requires proficient computer skills and must be able to use Microsoft Office to complete tasks.
• Thorough understanding of HIPAA guidelines and regulations regarding confidentiality and Release of Information regarding medical records.
• Practice proper telephone etiquette and provide excellent customer service.
• Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.

LifeView Group, Inc.is an Equal Opportunity employer. Individuals with Disabilities and Veterans are encouraged to apply. Drug Free Workplace Employer, DRUG TESTING REQUIRED