What are the responsibilities and job description for the Billing Coordinator position at St. Elizabeth's Medical Center?
To function as a member of the administrative team and complete all daily tasks to ensure smooth day-to-day operations in busy practice located in Brighton, MA.
Position: Billing Coordinator
Department: Outpatient Psychiatry
Schedule: Fulltime, 7:30am - 4:30pm
Enter technical and professional charges electronically
* Assure the final diagnoses and procedure codes as stated by the physician are valid and complete with the guidance of the system edits and reports
* Obtain any necessary clarification of information on the notes and charts
* Prepare the appropriate claims documents required by each insurer
* Perform all charge follow-up such as edits, submission of supporting documents, correction of codes, incorrect balance, or incorrect demographics
* Submit, organize and track all insurance claims filed by the health care provider
* Follow up until payment is received and manage collections activities when necessary
* Answers, triages, and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member received the information. Provides routine information to callers. This often includes answering patient questions on billing and routing and/or handling collections if a patient fails to meet his or her financial obligations.
* Collect co-payments and balances
* Supports cross coverage for front desk which includes greeting patients, completing patient check-ins and answering the phones.
* Obtain prior authorizations/approvals for outpatient services as needed
* Schedules patients' appointments and appropriate testing for patients as directed.
* Verifies information from patients including demographic and health insurance information
* Prepares documents for billing physician encounters; enters data, ensures that referrals are received, etc.
* Organizes and updates files, charts, and records
* Responsible for stocking of supplies and assists in ordering supplies
* Performs other duties as requested
Knowledge, Skills and Abilities:
- Experience with electronic medical record strongly preferred (Athena and Meditech a plus)
- Experience with Microsoft Office, Word, Excel and Outlook
- Solid communication and interpersonal skills, ability to communicate with tact, courtesy and professionalism, and full understanding of HIPAA guidelines
- Advanced knowledge of medical terminology, codes and abbreviations
- Must possess strong organizing and prioritizing skills
- Ability to work independently and handle multiple priorities within a high-pressure environment
Education/Experience
- Education from approved medical administrative program or equivalent
- High School Diploma or equivalent
- 1 to 3 years of experience as a Medical Biller
- Billing and Coding certificate preferred
Equal Opportunity Employer/Disabled/Veterans
