Experienced Medical Biller

Job Title: Medical Biller – Behavioral & Mental Health
Location: Cedarhurst, NY (on-site)
Contact: 516-548-1622 or mreich@riveredgeadvisors.com

About the Role
We’re seeking an experienced Medical Biller to manage the full revenue-cycle process for our growing mental-health, ABA, and substance-use treatment programs. You’ll work directly with clinicians, front-desk staff, and payers to ensure clean claims, swift reimbursement, and tight A/R control for services ranging from outpatient therapy to intensive outpatient (IOP) and ABA sessions.

Key Responsibilities
Claims Management: Prepare, scrub, and submit electronic & paper claims (CMS-1500/UB-04) for mental-health, ABA, and rehab services.

Payer Follow-Up: Track claim status, appeal denials, and resolve underpayments with commercial, Medicaid, and Medicare plans.

Patient Billing: Generate patient statements, set up payment plans, and handle billing inquiries with empathy and HIPAA compliance.

Authorization & Eligibility: Verify benefits, secure pre-authorizations, and document coverage limits for ABA therapy and addiction-treatment codes.

A/R & Reporting: Maintain aging reports, reconcile EOBs/ERAs, and deliver weekly collection metrics to leadership.

Compliance: Stay current on CPT/HCPCS codes, NYS Medicaid guidelines, and payer policies specific to behavioral health and substance-use disorders.

Must-Have Qualifications
2+ years of medical-billing experience in behavioral health, ABA, or substance-use treatment.

Solid command of CPT, ICD-10, and HCPCS coding; working knowledge of 90837, 97153, H0015, S9480, etc.

Proficiency with popular billing/EMR platforms (e.g., Kareo, AdvancedMD, Office Ally, WebPT, or similar).

Demonstrated success cutting A/R days and overturning denials.

Familiarity with NY state and Tri-state payer rules; Medicaid Managed Care a plus.

Strong Excel skills; comfortable generating pivot-table reports.

High attention to detail, confidentiality, and problem-solving mindset.

Nice-to-Have
Certified Professional Biller (CPB), CMRS, or equivalent credential.

Prior experience billing group therapy, telehealth, and IOP/Partial-Hospital codes.

Schedule & Benefits
Full-time, Monday–Friday, 9 AM–5 PM (some remote flexibility after onboarding).

Competitive hourly rate + performance bonuses.

Health, dental, vision, PTO, and 401(k) with match.

Supportive, mission-driven team focused on destigmatizing mental health and addiction recovery.