Billing - Intake Coordinator (Associates Degree or Medical Coding Required)

PURPOSE:

To define the role and responsibility of an Intake Coordinator/Biller is a dual role position. It is a qualified fulltime, employee appointed by the Administrator/Agency Ownership who coordinates all billing activities in conjunction with the agency Administrator. They shall also provide HR support on an as needed basis. This will include processing New Hire documents, drug and TB screening, Background checks, I9 preparation etc.

Job Description

01. Responsibilities

a. Ensure patient information is accurate and complete during intake of referral and request any missing information.

b. Review referrals and authorizations and confirm patient benefits and insurance.

c. Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO

d. Transfer insurance claims and billing data to billing software

e. Verifies all payor types’ information and checks each bill for correctness of charges on a daily basis.

f. Bills secondary insurances by collecting the proper EOB and resending to proper insurance company on UB92 and/or 1500 claim forms.

g. Bills electronically all claims that are eligible.

h. Bills hard copy all claims that are not eligible for electronically remittance.

i. Responsible for Follow-up of all the above claims

j. By using daily reports follows up on all accounts that have not paid within a 45-day period.

k. Calls Patient, Insurance Company, etc for status of accounts and when to expect payment.

l. Make adjustments to Third party insurance claims when necessary.

m. Sends in Appeals on all claims that we feel is necessary after follow-up or denial is received and we feel it is inappropriate. Maintains paper work that is appropriate.

n. Tracks all outstanding orders that are needed for billing purposes and makes contact to appropriate physicians for signature.

o. Insures proper posting of all receipts to the appropriate accounts.

p. Develop and maintain a tracking system of incoming and late payments

q. Monitor and date late payments, Initiate late payment notices to relevant parties

r. Respond to questions and complaints from patients or insurance companies

s. Follow-up on late or missed payment notices

t. Monitor and resolve financial discrepancies to keep records of payments up-to-date

u. Arrange payment plans and timelines for payments

v. Work with personal information and maintain patient confidentiality

02. Equipment and Software Operation

a. Requires the ability to utilize a PC, calculator, multi-line telephone, and other office related equipment.

b. Thorough knowledge in the use of Microsoft Excel.

c. Thorough knowledge in the use of QuickBooks.

d. Thorough knowledge in the use of Adobe Pro preferred.

e. Previous experience with AXXESS preferred.

f. Type a minimum of 30wpm. Applicants will be tested.

03. Company Information

Has access to all client and personnel records, which can be discussed with all management staff, including the Board of Directors as well as outside government agencies. Also, can access company financial records.

04. Qualifications Education:

a.

b. Must meet initial and ongoing educational requirements as stipulated by local, state and federal guidelines.

05. Experience and/or Training:

a.

b. Preferred experience or certs would be CPC (Certified Professional Coder), Billing Specialist, Intake Coordinator or Certified Medical Assistant (CMA).

c. Shall have two years of professional work experience and necessary training.

06. Key Competencies

a. Verbal and written communication skills

b. Professional personal presentation

c. Customer service orientation

d. Information management including organizing and planning

e. Attention to detail with the ability to analyze problems and strategize for better solutions f. Initiative, Reliability and Stress tolerance

g. Excellent verbal and written communication skills an the ability to multitask, prioritize and manage time efficiently

h. Strong customer service skills and comfortable answering both patient and insurance company questions

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Education:

• Associate (Preferred)

Work Location: In person