What are the responsibilities and job description for the Billing coordinator position at Community Behavioral Health Center?
This is a full-time, on-site position and an ideal position for an ambitious individual with excellent technical capabilities to help manage a growing .
General : Collaborate with agency staff, including the CEO, to address billing-related issues and recommend process improvements.
Verify client insurance details, track unpaid claims, and manage the collection of payments to maximize reimbursement. Maintain daily account and follow-up work lists.
Eligibility : Manage all aspects of client eligibility verification, claims submission, erroneous billing correction resubmission, and reporting.
Verify the clients’ records contain documentation of client eligibility to receive services. Assist the Compliance Officer with all applications to ensure contract compliance with MCOs, Medicaid, Medicare, and any future insurance.
Assist the Compliance Officer with Medicaid & Medicare Revalidations. Ensure employee licenses are up to date in Medicaid, Medicare, commercial and any future insurance systems.
Billing Process : Oversee accurate and timely pre-billing review, billing, follow-up, and reconciliation posting. Resolve insurance claim rejections / denials, and non-payment of claims by payors.
Draft effective appeals to insurance companies for reimbursement of monies owed. Maintain & update billing matrix in EHR system of contracted insurance companies.
Provide support to the CEO regarding failed activities and failed and denied claims. Assist with billing audits and internal reviews to ensure compliance.
Responsible for the timely and accurate updating of Agency accounts receivable and the generation of Ad Hoc reports requested by the CEO.
Skills and Knowledge Required : 5 years of proven Medicaid and Medicare billing and claim reconciliation experience. Understanding of healthcare billing regulations and compliance requirements.
Advance knowledge of third-party claims and clearinghouse. Ability to work with little or no supervision; must be self-motivating and flexible.
Computer proficiency using Microsoft Office 365, including Word, and advanced knowledge of Excel. Strong analytical and problem-solving skills.
Ability to communicate and collaborate constructively with a variety of internal and external personnel Credentials / Academic Requirements : Bachelor degree with 5 years, or High School Diploma with 8 years of managing billing in an EHR system. Powered by JazzHR
Last updated : 2024-09-13
