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Billing Coordinator

Job Summary

Under the supervision of the Insurance and Intake Supervisor, the Billing Coordinator performs a wide variety of duties relating to review, analysis, billing, adjusting, finalizing, filing, and transmitting all third-party claims and is responsible for posting of payments.

Responsibilities and Duties

 

Claims Processing

  • Creates, reviews, and completes all third-party claims prior to filing.
  • Investigates and corrects any errors detected on claims.
  • Reviews edits and rejections stemming from electronic billing submissions and corrects and resubmits claims, as appropriate
  • Generates claims to bill patients for that portion of the bill that is patient responsibility.
  • Bills electronically using a personal computer or other technology.
  • Issues any adjustments required based on review of available data.

Payment Posting

  • Reviews third-party payments and posts payments to patient accounts.
  • Posts electronic remittance advices including 835 files within two business days.
  • Creates desktop deposits using Wells Fargo Bank terminal.
  • Initiates refund requests, as appropriate.

Collections

  • Prepares and distributes monthly patient responsibility statements.
  • Responds to all telephone inquiries related to billing in accordance with established procedures.
  • Performs rebilling necessitated by third-party payors who do not pay in a timely manner.
  • Follows up on all outstanding balances either by phone or mail in accordance with departmental procedures.
  • Reviews patient receivable balance and notifies patients of late payments.

General

  • Solicits assistance when situations arise that deviate from the norm.
  • Communicates with clinical staff to assist in fading clients when third party payors and patients do not make timely payments.
  • Makes recommendations for improvements to departmental processes.
  • Other duties as assigned.

 

Qualifications and Skills

  • High School Diploma or GED equivalent. (Required)
  • 3-5 years recent experience with coordination of medical billing for services and procedures in a high-volume setting working directly with insurance carriers, patients/clients, and state and federally funded agencies. (Required)
  • Prior experience in demonstrating effective written and oral communication skills. (Required)
  • Prior experience in demonstrating exceptional organization skills and ability to multitask in a fast-paced environment. (Required)
  • Prior experience in demonstrating the ability to effectively manage a high call volume. (Required)
  • Applied Behavior Analysis (ABA) related billing experience. (Preferred)
  • Prior experience in working with NPA Works database. (Preferred)
  • Bilingual preferred; the ability to understand and to make one’s self understood to all Spanish speaking individuals. (Preferred)

 

 

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