Billing Coordinator

QUALIFICATIONS

• Experience with healthcare billing, preferably in mental health or similar operation.

• Minimum of 3-year experience or a graduate from a one- or two-year business college.  Knowledge of billing terminology.

• Ability to use various electronic office equipment and EMR software systems.

• Experience with Medicare, Medicaid, Commercial Insurance, on-line systems, and Explanations of Benefits. Ability to verify and determine insurance benefits. 

• Ability to work insurance denials, submit appeals, review claims for accuracy prior to claim submission, and post remits to accounts. 

• Ability to work 7:30am-4:00pm Monday- Friday or 5:30am-4:00pm 10-hr shift alternating days off. 40-hour work week

SPECIFIC RESPONSIBILITIES AND DUTIES

• Maintain, review, and correct all accounts with Medicare DDE (RTP’s and ADR’s) daily.

• Reconcile remittance advices and post payments, credits, denials, and other allowances to the corresponding accounts within the EMR. 

• Maintain bad debt write offs monthly.

• Prepare billing and financial reports biweekly or as required.

• Make collection efforts for delinquent accounts and working claim denials daily.

• Review census from facilities to ensure charges correspond in the EMR.

• Track accounts receivable to ensure that all payments are received.

• Prepare, generate, and submit electronic billing to the appropriate fiscal intermediary daily.

• Process routine lists and reports related to entering, editing, and processing accounts receivable.

• Prepares monthly patient billing statements upon request. 

• Works with all Beacon facilities to ensure proper billing, providing guidance and training when needed.

• May perform routine clerical tasks and data entry in the processing of various transactions.

• Close interactions with all locations, assisting with the daily processes of patient information efficiently and effectively to process claims according to guidelines.

• Correct filed mistakes to ensure that billing is accurate, and any corrections received from data entry to medical records departments at branch level.

• Comply with Medicare guidelines regarding bad debt collection efforts. 

• Demonstrate teamwork characteristics, work alongside other billing coordinators to ensure end of month balancing and AR aging decreases.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job related tasks other than those stated in this description.