Delaware Valley Residential Care is an innovator in community-based brain injury rehabilitation. Our mission is to maximize the capabilities of those affected by traumatic and acquired brain injuries through individualized programs, meaningful interactions, and exceptional care. We strive to provide the highest quality of brain injury rehabilitation services and do it in such a manner to allow residents to want to be involved in their individualized plan for recovery and to look forward to achieving their daily, weekly, and ongoing goals. By putting the residents first and recognizing that they are the reason we operate, we can champion the rehabilitation process and services provided.

Purpose of the Position

The Billing Coordinator provides support to the organization. These activities include billing, posting payments, invoicing, accounts receivables, collections and providing reports on the status of each domain. This position is responsible for managing and overseeing billing, claims and authorizations to ensure timely and clean claim submission along with accounts receivable, claim denials and resubmission.

Key Responsibilities & Duties

• Input and Review billing data for accuracy, including data entry.
• Process billing for multiple buildings to Medicaid and Managed Care funding sources.
• Creation of invoices for additional payers and Private pay.
• Work with Billing Supervisor and Director of Healthcare Finance to ensure accurate billing.
• Follows up on claim resolution from initial billing through final resolution including identifying and correcting billing errors/rejections and denials.
• Ensure participant eligibility, work with administrative team to send necessary documentation, follow up until approvals are received, complete back billing. Escalate issues to supervisor as needed.
• Monitor of reports related to claims submission and AR.
• Processing of remittance advices/EOB’s to achieve finalized clean claims for payment including researching and correcting denials.
• Reporting potential eligibility or other billing issues to Billing Supervisor.
• Handles appeals.
• Provides a high level of customer service to our patients and insurance carriers by responding accurately and professionally to inquiries and telephone calls and must be able to understand and explain reasons for denials and/or appeals. All collection activity MUST be documented.
• Post insurance and client payments received.
• Review remittance advices and resolve clearinghouse rejections and denials.
• Review, prepare and submit client invoices.
• Generate weekly billing report summarizing activities and aging.
• Review aging with Billing Supervisor to discuss action steps.
• Work with Service Coordinators to obtain authorizations and track for internal use.
• Responsible for reviewing & timely collection of all account balances and participate in month end close for multiple facilities nationwide.
• Responsible for providing support for auditing and ensuring billing accuracy.
• Responsible for providing support for filing and billing file organization.
• Responsible for providing support for Regulatory Audits (CMS, MCO, CARF, State, etc.).
• Assist with implementation of billing software.
• Other financial duties as assigned.
• Perform all other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

• Bachelor's Degree from an accredited institution in finance, accounting, or business preferred.
• Minimum of 2 years of billing experience (Medicaid & Insurance) in a healthcare setting.
• Billing or Business Office experience in long term care required.
• Equivalent education/experience may substitute at the discretion of the organization.
• Basic knowledge of CPT, ICD-10.
• Knowledge of billing on a UB04, HCFA 1500 claim form and electronic billing.
• Knowledge of multiple State Medicaid Benefits and Requirements.
• Knowledge of Social Security Benefits and Requirements.
• Able to interpret insurance Explanation of Benefits/Electronic Remittance Advice.
• Proficient in MS office, Outlook and Excel.
• Computer skills and the ability to learn new software quickly and have strong Microsoft Excel and Long-Term Care Software experience.
• Knowledge of PA Community Health Choices Preferred.
• Knowledge of governmental regulations, Medicaid, Social Security and general accepted accounting principles techniques and procedures.
• In-depth knowledge of laws, regulations, practices, and methods relating to the Office of Long-Term Living, Community Health Choices, C.A.R.F, PA Code 55.
• Ability to successfully manage multiple priorities and meet established deadlines in a fast-paced environment with minimum supervision.
• Detail oriented, organized, and ability to prioritize work.
• Strong organizational and planning skills.
• Must have a professional presentation, demeanour, and attitude.
• Must be a team player, a hands-on leader, and is a self-driven individual.
• Excellent communication skills for conveying and receiving accurate information.
• Ability to provide leadership and clear direction in an environment of change and under stress.
• Submitting Claims to Medicare, Medicaid, Community Health Choices.
• Preparation of Medicaid Applications.
• Management of Accounts Receivable.

Job Type: Full-time

Pay: $50,000.00 - $52,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience level:

• 2 years

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• Accounting: 1 year (Preferred)
• Microsoft Excel: 1 year (Preferred)

Ability to Commute:

• Fort Washington, PA 19034 (Required)

Ability to Relocate:

• Fort Washington, PA 19034: Relocate before starting work (Required)

Work Location: In person