Billing Coordinator

Full-time

Description

SUMMARY: The Billing Coordinator works as an integral part of the Finance Team. The Billing Coordinator will perform, but is not limited to, the following duties: will be responsible for obtaining accurate demographics to support claims, timely and accurate submission of claims and reports, benefit and eligibility verification as well as resolutions of denied claims. This position may require a flexible schedule including 1st and 2nd shifts. The agency has the right to change shifts based on the needs of the organization.

ESSENTIAL FUNCTIONS:

Position Specific Duties

• Files claims with all appropriate payers.
• Generates billing reports that reflect payer summaries of claims filed and amounts collected.
• Transmits billing electronically and manually for all companies in accordance to departmental deadlines.
• Performs timely and accurate applications and insurance company payments/adjustments.
• Evaluates denials in a timely manner for appropriate reconciliation, rebilling and other necessary follow up.
• Reviews and utilizes Accounts Receivables aging and billing error reports for the purposes of correction, reconciliation and problem resolution
• Receives phone calls and inquiries from both third party payers and individuals served on claims and responds to inquiries.
• Maintains and updates financial files that contain current demographics, historical data, financial status and payer source.
• Works cooperatively with other departments to obtain accurate clinical and demographic information to ensure timely billing and collection of fees owed for services rendered.
• Works with staff on third party verification to assure proper pre-certifications are obtained from insurance companies.
• Performs insurance verifications when necessary.
• Assist the Agency’s Finance Department by performing accounting and related functions including but not limited to: accounts receivable and payable, 3rd party billing and tabulation, bank deposits, reconciliations, etc.
• Observe and identify consumer concerns relating to payment requirements.
• Ability to climb three flights of stairs to deal with emergencies.
• Ability to respond to emergency situations by placing calls to Fire, Rescue, Police, and Medical etc

Administrative Tasks:

• Complete all required documentation in a timely manner.
• Perform program recordkeeping and filing, and organize vital documents.
• Provide telephone coverage for the assigned program and direct calls to other programs as needed.
• Participate in required supervisions, staff meetings and trainings.
• Participate and cooperate in any investigations conducted by internal and external agencies.
• Ability to use a computer including inputting information into the electronic health record.

Compliance Requirements:

• Remain awake during your shift at all times.
• Attend all mandatory trainings and update all licenses and certifications.
• Adhere to program/project/department requirements and services.
• Follow all reporting guidelines by deadlines including the completion of a Confidential Incident Report.

QUALIFICATION REQUIREMENTS: The Billing Coordinator must perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The qualifications listed below are representative of the knowledge/skill and/or ability required.

• Associate degree in business management preferred.
• Minimum of three years of experience in billing Managed Care Organizations/third party billing required.
• Superior attention to detail, organizational skills, analytical skills, computer skills and multi-tasking skills.
• Good working knowledge of computers, electronic health records and data collection.
• Requires valid driver’s license due to business-related travel.

Salary Description

$51,949.00-$55,108.00 per year