Billing Configuration Specialist

LENAPE VALLEY FOUNDATION • Doylestown, PA

1d

About The Position

Lenape Valley Foundation is seeking a Billing Configuration Specialist who thrives on turning complexity into clarity. In this newly created role, you'll sit at the intersection of behavioral health billing, system configuration, and contract interpretation, ensuring our services are billed accurately, compliantly, and in alignment with payer requirements. This is an ideal opportunity for someone who enjoys digging into details, solving billing puzzles, and protecting revenue, while supporting a mission-driven organization that serves individuals and families across our community. You'll play a key behind-the-scenes role in keeping our systems accurate, our billing compliant, and our teams supported, work that directly impacts our ability to deliver care to members of our community. Since 1958, Lenape Valley Foundation (LVF) has been a trusted non-profit provider of essential human services in Bucks and Montgomery Counties. Our mission is to partner with individuals facing mental health, substance use, or developmental challenges as they pursue personal goals and improved quality of life. With over 30 programs and a commitment to evidence-based care, LVF continues to evolve to meet community needs.

Requirements

• 2+ years of experience with behavioral health billing system configurations and billing matrices
• Experience interpreting managed care or payer contracts, including reimbursement rules and fee schedules
• Hands-on experience with Behavioral Health EHR systems
• Strong working knowledge of Microsoft Office, especially Excel
• Ability to analyze complex billing and reimbursement data and spot inconsistencies or trends
• Strong attention to detail and commitment to accuracy
• Clear written and verbal communication skills
• Ability to work independently and collaborate across teams

Responsibilities

• Configure the Behavioral Health EHR system to ensure accurate billing based on payer contracts and rules
• Maintain and update the billing matrix, data dictionaries, and related EHR forms
• Interpret payer and managed care contracts to identify billing requirements, rates, and reimbursement rules
• Monitor payer websites and portals for updates to billing guidelines and apply changes as needed
• Identify and resolve billing issues, including missing data, configuration errors, and rate discrepancies
• Analyze billing data to spot trends, risks, and opportunities for revenue improvement
• Maintain accurate contract and configuration documentation and support contract renewals
• Import Early Intervention and Intellectual Disability services from HCSIS into Credible weekly
• Collaborate with billing, finance, and operational teams to ensure accurate and compliant billing
• Perform additional duties as assigned

Benefits

• DailyPay- gives you the flexibility to access your earnings immediately- on your own schedule!
• Generous PTO Policy
• 15 PTO Days, 10 Paid Sick Days, 4 Paid Personal Days, 7 Paid Holidays, 5 Paid Conference Days
• Medical, Dental, and Vision Insurance
• Flexible Spending Account (FSA)
• Long-Term Disability and Basic Life Insurance
• Employee Assistance Program (EAP)
• Continuing Education Assistance Program
• Access to student loan management and repayment support

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 101-250 employees