Billing Coordinator

Company Overview

All Care is a Private Homecare provider licensed by the State of Georgia.  We service seniors and adults with disabilities in private home settings.

Job Description

Full-Time Billing Coordinator will be responsible for ensuring accurate and timely billing and collections for services provided to clients, with a primary focus on individuals covered by Georgia DBHDD and DCH programs. The Billing Coordinator reports to the Director of Finance.

Major responsibilities include:

·  Billing & Collections:

• Prepare, submit, and track claims to DBHDD and DCH for services rendered, ensuring strict adherence to all program guidelines and deadlines.
• Process and reconcile payments received from DBHDD, DCH, and other payers.
• Investigate and resolve denied or rejected claims promptly and accurately, identifying root causes and implementing corrective actions.
• Manage accounts receivable, including follow-up on outstanding balances and maintaining low accounts receivable days.
• Generate and distribute client statements as needed.

·  Authorization & Eligibility:

• Verify client eligibility and authorization for services through DBHDD, DCH, and other relevant systems.
• Track and manage service authorizations, ensuring services are provided within approved limits.
• Communicate proactively with care coordinators and clients regarding authorization status and potential service disruptions.

·  Compliance & Documentation:

• Maintain up-to-date knowledge of all DBHDD and DCH billing regulations, policies, and procedures.
• Ensure all billing practices are compliant with state and federal regulations, including HIPAA.
• Maintain accurate and organized billing records, client files, and supporting documentation.
• Assist with internal and external audits related to billing and financial records.

·  Communication & Collaboration:

• Collaborate closely with internal teams, including care coordination, scheduling, and human resources, to ensure seamless service delivery and accurate billing.
• Communicate effectively with DBHDD and DCH representatives regarding billing inquiries, claim status, and program updates.
• Address client and family billing inquiries with professionalism and empathy.

Reporting & Analysis:

• Prepare regular reports on billing, collections, and accounts receivable performance.
• Analyze billing data to identify trends, areas for improvement, and potential compliance risks.
• Provide insights and recommendations to management regarding billing processes and financial performance.

Key Selection Criteria

• High school diploma or equivalent required. Associate or bachelor’s degree in healthcare administration, finance or a related field preferred.
• Minimum of 3-5 years of experience in medical billing.
• Strong preference for candidates with experience in the homecare, healthcare or private pay services industry.
• Demonstrated experience and in-depth knowledge of billing for Georgia DBHDD and DCH programs, including Medicaid Waivers (NOW/COMP, ICWP, CCSP).  Working knowledge of GAMMIS strongly preferred.
• Experience with electronic health record and billing software.
• Excellent analytical, problem solving and decision making skills.
• Strong communication and interpersonal skills, with the ability to present complex financial information clearly and effectively to diverse audiences
• Proficiency in Microsoft Office and medical billing software 
• Ability to work independently and as part of a team

Responsible for all other duties and tasks as assigned by the supervisor.