Medical Billing Administrator

1 month ago

Mountainside, United States Cooperative Counseling Service Full time
Job DescriptionJob DescriptionCooperative Counseling Services (CCS) is a premier provider of Child, Adolescent, Adult and Family Mental Health Services in NJ. In order to fully realize our commitment to helping our clients achieve optimal health, happiness, and well-being, we rely above all else on our team of outstanding employees. Come join usWe are seeking a Billing Administrator with a strong working knowledge of medical billing, medical collections or ambulatory billing. The Billing Administrator is a one-person department and is responsible for ensuring that ALL billing and accounts receivable functions are executed effectively, efficiently and error-free for all company programs. This starts with entering all daily charges and following up for the entire revenue cycle to ensure claims are processed and payments received accurately and in a timely fashion. The position is IN-PERSON 5 DAYS/WEEK IN MOUNTAINSIDE, NEW JERSEY.

Essential Duties and Responsibilities:

• Accurately enters daily charges; generates claims; submits claims electronically or via paper claims weekly; identifies and resolves billing and coding errors promptly; and ensures compliance with payor requirements.

• Performs daily/weekly uploads to ensure timely payment of claims.

• Executes downloads and electronic remittance posting to ensure weekly claim processing is recorded accurately in the company’s billing systems.

• Reconciles and posts Automated Clearing House (ACH) payments issued against open charges in the company’s billing system.

• Processes credit card and electronic payments.

• Reconciles and posts payments (copays/no-show payments/fees for services) against open charges in the company’s billing systems.

• Generates and analyzes accounts receivable reports, including documenting receipts, and escalates problem areas to the Office Manager.

• Research claims denied, reasons for denial, rectifies and resubmits claims promptly.

• Analyzes rejection and denial trends to identify and solve processing issues; and escalates to the Office Manager for troubleshooting support.

• Produces daily and weekly financial reports by payor; report claims on hold and denied including their disposition, until rectified.

• Produce daily close financial report for all Outpatient services.

• Invoices clients weekly/monthly for unpaid copay, deductible, and self-pay balances; reports on overdue client balances and contacts clients for payment status updates.

• Responds to and resolves client account inquiries; escalates to the Office Manager where required.

• Contacts insurance companies to verify eligibility, benefits, and rule out DDD status if claims are denied. Liaise with Medical Records Administrator if assistance is needed.

• Supports payroll processing biweekly.

• Performs other duties as required.

MINIMUM QUALIFICIATIONS: A Bachelor’s degree in accounting, business administration, or a related field is preferred OR a minimum of five (5) years’ experience in billing, accounts receivable, or similar role. Professional with demonstrated proficiency in Medicaid and commercial insurance billing, collections, and payroll processing. Must be proficient with Excel and other applicable Microsoft Office products. Good communication skills and the ability to work well with people are essential. Strong organizational skills with the ability to multi-task and eagerness and aptitude to learn. Demonstrated leadership skills are beneficial.


We offer a competitive salary and benefits package within a dynamic and diverse workplace focused on staff development, top notch client care, and ongoing expansion and enhancement of our services.

Compensation and Robust Array of Benefits Include:

  • Competitive Pay
  • Comprehensive Medical, Dental and Vision coverage - Company contributes 50% of single premium
  • Generous Paid Time Off (Vacation/Mental Health/Earned Sick/Personal)
  • 401K Retirement Plan
  • Supplemental Insurance
  • Nine (9) Paid Holidays
  • Discount offers for entertainment, shopping, and more
  • Family-friendly organization that continually strives to support employees in a motivating and engaging atmosphere

Physical Requirements:

Ability to communicate orally with customers, management, and other co-workers is crucial. Regular use of the telephone and e-mail for communication is essential. Hearing and vision within normal ranges are essential.

No heavy lifting is expected. Exertion of up to 10 lbs. of force occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculators, copiers, and fax machines.

CCS is an Equal Opportunity Employer. Not only do we embrace and celebrate the diversity of our clients and community partners, but we also strive for the same in our employees. At CCS, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, national origin, gender, sex, gender identity or expression, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We are proud to be an equal opportunity workplace.


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