Billing Coordinator

General Summary: Responsible for Billing, Census reporting, and miscellaneous audits/reports as needed. Billing Coordinator retrieves billing, coding, and charges from the Electronic Health Record (EHR), reviews claims through triple check and submits claims for reimbursement; works with team members to define appropriate charges and coding for the scope of services delivered. Seeks training and guidance for billing and coding to help increase revenue; works with Medicaid, Medicare, Managed Care Organizations (MCO), and private health insurance groups to obtain payment for services and comply with credentialing and certifications.

Essential Duties and Responsibilities:

· Captures charges from the EHR and other billing systems for services provided on a regular basis according to defined revenue cycles.

· Verify that the Therapy Verification form has correct payers.

· Submits claims for payment to Medicaid, Medicare, MCO’s, and other payer sources.

· Follows up with payer sources to resolve unpaid claims.

· Reports on billing activities each month, including charges, payments, and aging, claims denied, and other related data as needed.

Coordinates collection efforts internally with BOM

· Provides guidance for staff members regarding coding and billing within the scope of services for the provider.

· Coordinates with residents/resident representative to ensure accurate and verifiable billing information.

· Identifies responsible party by examining patient record.

· Works cooperatively with other departments to share demographic and insurance information.

· Resolves billing issues by discussing contract with third-party payer, explaining insurance contract with patient.

· Insurance credentialing/Contracts

· Import ancillaries in PCC monthly and post.

· Prepare for Audits/Reports (Monthly/Quarterly/Yearly) as directed by BOM, Administrator and CFO.

· Updates in PCC

· Perform other duties as assigned.

REPORTING RELATIONSHIPS

SUPERVISES: N/A

QUALIFICATIONS

EDUCATION:

· High School Diploma and equivalent work experience required

EXPERIENCE:

· Previous long term care healthcare billing experience preferred

· Point Click Care experience preferred

REQUIRED KNOWLEDGE, SKILLS & ABILITIES

· Knowledge of healthcare billing systems, claims software, EHR’s, and Microsoft Office package.

· Data processing, reporting, and analysis related to billing and accounts receivable.

· Decision-making abilities.

· Problem-solving abilities.

· Ability to reason.

· Ability to communicate both verbally and in writing with a wide range of people.

· Detail-oriented.

· Ability to maintain confidentiality.

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Opportunities for advancement
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Physical Setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental Pay:

• Overtime pay

Work Location: In person

Salary : $20 - $23