Medical Billing Coordinator

Benefits:

• 401(k)
• Company parties
• Dental insurance
• Health insurance
• Paid time off
• Training & development
• Vision insurance
• Wellness resources

MEDICAL BILLING COORDINATOR

Classification: Non-exempt, Full Time
Department: Organization-wide
Reports To: Contracts Administrator
Compensation: $25.50-$32.50 per hour
Travel Requirements: Local travel as required
Supervisory Responsibilities: None. Individual contributor

ORGANIZATIONAL BACKGROUND
BWPC is a research-driven social enterprise founded to make equitable policies and programs more effective. BLACK Wellness and Prosperity Center promotes Belonging, Love, Affinity, Community, and Kinship through culturally congruent system improvements across the prenatal to postnatal continuum of care to advance improved outcomes in maternal health and wellbeing for Black women/persons and their families. BWPC upholds racism as a root cause of adverse maternal child health experiences for Black women and babies, particularly, the negative impacts of Anti-Black Racism throughout the life course.

BWPC CREDO
BWPC is fact based and centered on trust & equity. If you have a question, ASK. Please do not make assumptions. If you have a concern, SHARE IT. Please do not spread gossip in the community or within the team. There are no BWPC "cliques." We are ONE. BWPC encourages and promotes deep transformative thinking.

BWPC POWER-SHARING FRAMEWORK

• Generate recommendations for process improvements whenever appropriate
• Participate in developing best practices, sharing resources, and ongoing trainings
• Ensure that all materials created are consistent with BWPC mission, vision, and values
• Participate in the design of new programmatic initiatives
• Apply the BWPC Credo

POSITION SUMMARY
The Medical Billing Coordinator contributes to the strategic expansion of our organization. This is an exciting new position within the organization and is responsible for coordinating medical billing doulas, Enhanced Care Management (ECM), Community Supports (CS), and Community Health Workers (CHWs) and other billable services. This is a full-spectrum position that requires functional, technical, and administrative responsibilities.

DAY-TO-DAY RESPONSIBILIES

• Establishes & maintains billing/coding processes and workflows
• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes
• Monitors and reviews all medical records to ensure medical coding accuracy, including proper completion and documentation of rendering signatures
• Notifies rendering providers of missing information and follows up accordingly
• Assesses encounter documentation using Center for Medicare and Medicaid Services (CMS) documentation standards. Based on the provider's documentation, identify possible documentation changes that would more accurately account for services provided if implemented
• Resolve payer denials and respond to inquiries from revenue cycle teams, processing charge corrections as appropriate
• Driving required
• Performs other duties as assigned

JOB DIMENSIONS
§ Leadership: Ability to effectively lead and take ownership for all facets of new department implementation
§ Decision-Making: Ability to work in ambiguous environment and make logical decisions within position scope of authority
§ Work Standards: Maintains regular attendance and punctuality
§ Technical Skills: Ability to quickly learn and use new software
§ Collaboration: Ability to work with minimal supervision and collaboratively; ability to take constructive direction and guidance from administration

• Flexibility: Ability to be flexible, available, accountable, responsible, reliable, adapt to change, work in a fast-paced and demanding environment
• Comprehension/analysis: Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to read and comprehend instructions, correspondence, case notes, and memos. Ability to analyze, organize, document, and communicate Trustworthiness/Integrity: Ability to use discretion, maintain confidentiality, protect Protected Health Information (PHI), not disclose Personal Identifiable Information (PII), exhibit ethical conduct, and uphold HIPAA standards
• Stress Tolerance:Ability to administer self-care and have an awareness of when personal wellness needs to be acknowledged and addressed

EDUCATION
High School diploma or equivalent. 2-year degree in healthcare or related field preferred.

EXPERIENCE
1-3 years of direct OB/GYN billing and coding experience. For the right internal candidate, BWPC will provide on-the-job training. Requires completion of an accredited training program within four months of reassignment. Requires a written agreement to work for BWPC for a minimum of two years at BWPCs discretion.

LICENSES AND CERTIFICATIONS
Required: Certification as Certified Professional Biller (CPB)

REQUIRED QUALIFICATIONS AND WORK EXPERIENCE

• Highly organized, self-motivated, detail-oriented, and energetic team player
• Ability to multi-task in a fast-paced environment

• Ability to develop knowledge of medical terminology
• Ability to read/interpret correspondence, charged documents, EOBs and all insurance forms
• Knowledge of online registration procedures, including payor data and financial classes
• Excellent intrapersonal and interpersonal communication skills
• Proficient technical and computer processing skills using Microsoft and Excel
• Ability to master new software

PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle, or feel objects, tools or controls. The employee is frequently required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. The noise level in the work environment is usually moderate. The emotional environment will include hearing, seeing, and discussion of racism, mortality, and maternal child health inequities. BWPC frequently conducts work in hospital and clinic settings and may offer on-site healthcare services, such as COVID-19 testing.

Requires frequent oral and written communication with internal and external stakeholders, vendors, and partners, the ability to enter data and written communications in electronic format in a timely manner using various software.

Ability to consistently reach the worksite, meetings, and events on time and prepared to work.

WORK METHODS

• In-person
• Reports to: Contracts Administrator

COMPENSATION AND PAY SCALE
Non-exempt, hourly. Range $25.50-$32.50 based on skills and experience.

EQUAL OPPORTUNITY STATEMENT
Black Wellness & Prosperity Center is an equal opportunity employer, drug free workplace, and complies with ADA regulations as applicable and shall not unlawfully discriminate against any employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, military status or veteran status pursuant to all applicable State of California and Federal statutes and regulation. BWPC does not discriminate against applicants or employees because of their reproductive health decision making.