What are the responsibilities and job description for the Billing Coordinator position at Hometown Healthcare?
Company Summary
Hometown Healthcare is a Respiratory Home Medical Equipment & care management company whose purpose is to alleviate the burdens of healthcare. Founded as Watervliet Pharmacy, Hometown Healthcare has been serving the pharmacy needs of patients and their loved ones since 1953. Now headquartered in Clifton Park, Hometown Healthcare has evolved over time by adding high-touch and high-tech respiratory products and services, a comprehensive sleep therapy program (for CPAP and Bi-Level patients), and other home medical equipment. Hometown Healthcare serves a 70-mile radius from the headquarters in New York’s greater Capital Region.
Position Summary
Reporting to the Billing Manager, the Billing Coordinator is responsible for ensuring claims, and held or stopped sales orders, are processed timely and accurately adhering to insurance guidelines and meeting regulatory expectations. The Billing Coordinator also manages the full lifecycle of accounts receivable with the payer(s). The ideal candidate will be able to understand medical documentation, insurance coverage, payments, and guidelines. The ideal candidate shall also be detail oriented, have a willingness to learn and be able to develop and maintain relationships.
How You’ll Make an Impact
- Become an expert in insurance coverage and regulatory guidelines including obtaining authorizations
- Responsible for processing and follow up on medical claims invoices
- Process requests for medical records transmission for personal and/or 3rd party requests
- Understand referrals’ clinical documentation and process necessary requirements by insurance companies
- Own the accounts receivable lifecycle (open accounts, denials, appeals, corrected claims, adjustments, and payment plans)
- Ensure resolution of all customer and/or payer billing issues
- Responsible for deciphering medical policy and process accounts receivables in compliance with payer guidelines
- Process Medical Necessity documentation
What You Must Bring to This Role
- High school diploma, general education degree (GED); or equivalent education and experience - required
- Associates degree from a 2-year college and/or 4 years related experience or training; or equivalent combination of education and experience - desired
- Proven ability to communicate clearly, both verbally and written - required
- Proven success providing an exceptional patient experience - required
- A history of exceptional attention to detail - required
- A history of maintaining confidentiality - required
- Demonstrated mastery responding to questions in a tactful & professional manner - required
- Strong interpersonal skills & the ability to effectively work with a wide range of individuals - required
- Demonstrated history of being self-motivated & a desire to work effectively, autonomously - required
- Proven history of accountability & ownership - required
- A working history with MS Office Suite, Google G-Suite, mobile & web-based tools - required
- A working knowledge of Brightree, U-Sleep, and Snap Works software’s - desired
- Demonstrated history working in the medical field, Pharmacy and/or with Durable Medical Equipment - desired
- Success operating within a Quality Management System (QMS) or similar regulated environment - desired
Values
- Serve to WOW!
- Creating experiences that cause those we serve to become Hometown Healthcare evangelists
- Empathy & Grace
- The glue that bonds and preserves a beneficial and long-standing relationship that is comprised of two ideas:
- Empathy (cognitive): A decision to pause your thoughts and feelings long enough to engage with the thoughts and feelings of another person
- Grace: Favor (patience, kindness, goodness, gentleness, self-control, etc.) demonstrated to someone especially when they don't deserve it.
- Teachable Spirit for the Pursuit of Better
- "It got me to where I am, but won't get me to where I need to go, so therefore I must learn and grow"
- Warrior's Heart
- Working hard AND producing the results required in spite of the circumstances
Compensation, Benefits & Fun Stuff
- Be a part of a locally owned & operated business, who values treating everyone with integrity & respect
- Be a part of a progressive company challenging the status quo
- Company sponsored benefits program, including retirement plan
- Generous Paid Time Off and paid holidays
Working Conditions & Physical Efforts
- Work is performed in an office work environment
- May be required to lift up to 30 lbs.
- Ability to sit for a prolonged period of time
- Visual functions being those of near vision, depth perception, and ability to adjust focus
- Talking and hearing occur continuously in the process of communicating with leadership & client businesses
- Transportation to & from work locations
- Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or operate equipment
- No or very limited exposure to physical risk
This role is posted in partnership with HR Resolved, Inc.
Salary : $19 - $22
