Billing Data Coordinator

Job Title: Billing Data Coordinator (Alexandria, LA)

Department: Administration

Supervisor: Director of Billing Operations

FLSA Status: Non-Exempt

About Us

The Pharmacy seeks to provide the best possible outcomes for the patients it serves. We follow the same mission every day, “To see our business through the eyes of our customer, to exceed their expectations, and to provide the greatest selection and value in their pharmacy needs.” We feel it is our responsibility to our customers, referral sources, clinicians, insurers, and most importantly, our patients, that positive healthcare outcomes are achieved, and a true value has been received.

Summary

The Billing Data Coordinator is a professional who specializes in organizing and managing billing data to ensure accuracy and efficiency in financial operations. They collect, organize, and interpret data related to billing processes, identify trends and anomalies, and generate reports. This role involves ensuring compliance with regulatory standards, collaborating with various departments, and implementing data-driven solutions to improve billing practices.

Duties and Responsibilities

• ·Gather, organize, and maintain billing data from various sources, ensuring accuracy and completeness.
• Generate detailed reports and dashboards to provide insights into billing operations and key performance indicators (KPIs).
• Maintains and works the accounts receivable third-party aging report by looking into why take backs have occurred.
• Pulling reports to clean up patient records and checking patient and account details.
• Run monthly no prior authorization reports and prepare the data to be sent to the Account Executives in a timely manner.
• Email or speak to Medicare representatives to discuss appeals and grievances.
• Reconcile patient accounts.
• Review and audit claims and patient accounts to find solutions on rejects, past due billing issues, and troubleshooting difficult accounts on trial balances.
• Audit facility payments to understand why a customer short paid an invoice or overpaid an invoice.
• Perform end of month audits which include but are not limited to making sure credits are applied properly, correcting patient plans, patient status, tax codes, drug pricing, etc.
• Maintains and updates customer files, including name or address changes, mergers, or mailing attentions.
• Drafts correspondence for standard past-due accounts and collections, identifies delinquent accounts by reviewing files, and contacts delinquent account holders to request payment.
• Creates reports regarding the current status of customer accounts as requested.
• Research customer discrepancies and past-due amounts with the assistance of the Billing Office Manager and other staff.
• Collaborate with the Billing Office Supervisor to reconcile accounts receivable monthly.
• Assists Billing Office Manager in reconciling revenue accounts each month.
• Copies, files, and retrieves materials for accounts receivable as needed.
• Entry of patient information into company software efficiently and accurately.
• Prepares patient statement and processes account. Research discrepancies and work to resolve.
• Initiates and maintains accurate reporting as necessary.
• Participate in the month-end process, including but not limited to third party and private pay billing as well as account follow-up.
• Identify and report account billing issues to management.
• Serves as back-up support for staff within the billing office.
• This position has access to PHI and must comply with HIPAA regulations.
• Complies with company Corporate Compliance Program.
• Other duties as assigned.

Required Skills/Abilities:

• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Proficient in Microsoft Excel.
• Proficient in Microsoft Office Suite or related software.
• Ability to operate related office equipment, such as computers, 10-key calculator, and copier.
• Ability to work independently and in a fast-paced environment.
• Ability to anticipate work needs and interact professionally with customers.
• Ability to act with integrity, professionalism, and confidentiality.
• Ability to create a compassionate and respectful environment.
• Strong analytical and problem-solving skills.
• Ability to work 100% on-site, with no remote work options available.
• May have to work overtime with little or no notice as needed.

Required Physical Abilities:

• Sitting: Ability to sit for 8 or more hours a day, often for the majority of the workday.
• Manual Dexterity: Proficiency in using hands and fingers to handle, control, or feel objects, tools, or controls, such as typing on a keyboard.
• Visual Acuity: Good vision to read and interpret data on computer screens and documents.
• Hearing Ability: Adequate hearing to participate in conversations, both in person and via phone or video calls.
• Communication: Ability to speak clearly and listen attentively during phone calls or meetings.
• Occasional Lifting: Capability to lift and carry objects, typically up to 50 pounds.
• Mobility: Ability to move around the office and access office equipment or attend meetings. Ability to bend and stoop. Ability to reach for and handle items such as files, documents, and office supplies.
• Posture: Maintaining proper posture to avoid strain or injury.

Education and Experience:

• High school diploma or equivalent required and two years of prior experience in a professional medical office setting preferred.
• Pharmacy Technician Certification preferred.
• Understanding of payers such as Medicare preferred.

As an Equal Opportunity Employer, the Pharmacy will recruit and select applicants for employment solely based on their qualifications. Our Practices and Procedures, including those relating to wages, benefits, transfers, promotions, terminations and self-development opportunities, will be administered without regard to race, color, religion, sex, sexual orientation and gender identity, age, national origin, disability, or protected veteran status and all other classes protected by the Federal and State Government. Drug Free Employer.

EOE/Minorities/Females/Vet/Disability

Job Type: Full-time

Pay: From $17.50 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Medical office: 2 years (Preferred)

Ability to Commute:

• Alexandria, LA 71301 (Required)

Work Location: In person

Salary : $18