Medical Billing Coordinator

Job Title: Billing Coordinator

Reports To: Billing Supervisor

Position Objective: The billing coordinator processes fees for services and bills in an accurate and timely manner in accordance with the established guidelines and procedures of First State Orthopaedics and HCFA.

Position Requirements: High School Diploma. Previous experience in healthcare collection/billing. Good communication and computer skills, good working knowledge of medical terminology CPT and ICD-10 coding.

Detailed Responsibilities:

• Maintain a working knowledge of the NextGen EPM (operating system) payment system
• Batch incoming remittances received via U.S.P.S.
• Reconcile remittances by batch with associated supporting documentation
• Retrieve remittance batches from bank lockbox website
• Locate and record 835 files associated with ERA (electronic remittance advice) payers from clearing house (Navicure)
• Redirect misdirected documentation to the appropriate department for handling
• Open, review, sort and process “no remittance” U.S.P.S mail in the operating system
• Create and enter manual remittance batches into the operating system
• Download 835 files and review resulting transactions for ERA (electronic remittance advice) payers in the operating system
• Verify receipt and monetary contents of the various office locations courier bags
• Distribute office location charge journals/fee slips to the appropriate charge processing for entry
• Perform batch process on all manual and ERA transactions entered into operating system to ensure reconciliation with the appropriate remittance batch
• Initiate post/lock function on all reconciled batch in the operating system
• Produces and files a payment journal for each processed batch
• Separates and batches supporting documentation and forward for optical scanning
• Retrieve, identify and record pre-deposit / pending transactions ACH/EFT items from online bank report
• Identify for handling any confirmed ACH/EFT deposits associated with paid claims
• Retrieve all supporting documentation for confirmed ACH/EFT deposits via the clearing house (Navicure) or various payer websites
• Download 835 file, Payers Response and RA Data reports into the appropriate files on the company shared documents drive
• Monitor and retrieve from various payers websites “no remittance” files
• Process “no remittance” files in the operating system
• Reconcile co-pay remittance types (ie credit card, cash and checks) with “End of Day” register received from each location to ensure accuracy
• Enter and reconcile co-pays associated with each locations office visits into the operating system
• Verify and maintain sequential record of all completed “cash receipts” issued by each location
• Review, process and reconcile refund requests in the operating system
• Process and reconcile returned items received from Accounting in the operating system
• Enter return check fees associated with return item in the operating system
• Update the system reconciliation log with various information (i.e. refund, return item, adjustments, charges and payments) totals
• Review parameters and initiate production of monthly statement file
• Update daily summary log with ACH/EFT and deposit information
• Create new daily/monthly folders for various files within the shared documents drive
• Research and coordinate the conversation of payers from paper to electronic files
• Troubleshoot and resolve payer website issues
• Research NextGen enhancements available to payment process
• Troubleshoot EPM issues and key contact for NextGen help desk tickets
• Attend meetings relating to NextGen or banking issues associated with payment processing
• Key contact to Accounting department relating to monetary discrepancies
• Coordinates the archival of payment journals for off site storage

Physical/Mental Demands: High levels of mental concentration are required. Must handle multiple tasks simultaneously and subject to interruptions. Physical effort requires sitting for long periods of time and repetitive movements consisting of reaching with hands and arms. Manual dexterity, visual acuity, and the ability to speak and hear are required.

First State Orthopaedics reserves the right to revise this job description at any time.

EXPECTATIONS OF ALL EMPLOYEES

· Provide exceptional service to all of our patients.

· Exhibit professionalism and ethical behavior at all times.

· Maintain strict confidentiality of patient information and business within the organization’s policies.

· Maintain OSHA and HIPPA regulations.

· Treat everyone with respect, courtesy and friendliness.

· Adhere to all policies and procedures for our organization.

· Communicate recommendations on improvements of policies and procedures to management.

· Participate in committees, discussions and other team functions.

· Provide additional duties as may be assigned.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• No weekends

Education:

• High school or equivalent (Required)

Ability to Commute:

• Newark, DE 19702 (Required)

Work Location: In person

Salary : $16 - $18