Health Services Billing Coordinator

The Data and Billing Coordinator is responsible for third party billing and the data management aspects for the ABCD Family Planning Partnership. This is an integral role in the program which serves as a liaison between the family planning team, sub recipient agencies and outside vendors for both data management and third party billing.

Key Responsibilities:

• Coordinate and carry out all third party billing for ABCD Family Planning program including Unit Rate. Review editing of all billing data for completeness and accuracy, and prepare one line reports. Maintain communication with ABCD central office on all aspects of department billing system needs.
• Provide technical assistance and administrative training for ABCD central and delivery site staff on client visit billing, 340B contraceptive supplies and data collection systems.
• Conduct quality assurance activities through delivery site administrative and billing reviews to ensure compliance with state, federal, pharmacy and billing regulations.
• Monitor the 340B use by service sites including maintaining accurate records of addresses, provider NPIs, and recertification. Conduct regular audits to ensure 340B compliance.
• Monitor and prepare reports on utilization of delivery site progress toward stated goals at least quarterly. Responsible for developing corrective actions plans if utilization is below the expected threshold.
• Prepare data reports for federal and state reporting requirements. Generate data reports and projections for grants as needed.
• Assist with the development of administrative policies, protocols, and training materials.
• Supervise the data analyst; provide oversight for data uploads, error rates, and data reporting. Ensure that all online and exported Family Planning Encounter Records (FPERs) are received from the delivery sites and accurately edited for quality assurance on a continuing basis.
• Responsible for Family Planning Program’s compliance with Health Information Portability and Accountability Act “HIPAA” in regards to clinical and billing Family Planning Encounter Records (FPER) data.
• Represent ABCD Family Planning data interests on federal and state policy committees.
• Perform other related duties as assigned from time to time.

Skills, Knowledge and Expertise:

• Minimum of a Bachelor’s Degree in Human Service Administration or related field, and 3-5 years of relevant experience required.
• Supervisory experience and previous office work experience in a human service agency preferred.
• Ability to maintain confidentiality at all times.
• Willingness and ability to work independently as well as a member of a team.
• Flexibility, initiative, and ability to work in a team required.
• Ability to deal sensitively and effectively with individuals of diverse economic and cultural backgrounds.

Expected Salary: $64,064.00 USD. Salary scales are set according to an explicit compensation policy and relevant market data. Due to funding restrictions and our strong focus on internal parity, this salary is thoughtfully aligned with the duties expected for this role, and offers are firm.

ABCD is a nonprofit human services organization that each year provides more than 100,000 low income residents in the Greater Boston region with the tools and resources needed to transition from poverty to stability and from stability to success.To fulfill this purpose, ABCD uses a comprehensive approach that systematically addresses the range of barriers faced by households in poverty, from day-to-day crises to long-term needs for jobs and education.