Billing Coordinator (Full Time)

  Position Summary:

• Coordinate and manage billing and collection activities for assigned programs of Benjamin Rose and its subsidiaries, ensuring timely and accurate billing, payment collection, reconciliation, and compliance with program and payer requirements. 

Essential Duties and Responsibilities

The following description is a general representation of the key duties and responsibilities of the position. 

• Assist in weekly deposits for all areas of Benjamin Rose and subsidiaries and identification of restrictions and coding with Institutional Advancement and recording to Raisers Edge and the general ledger as appropriate. Reconcile gifts in Raiser’s Edge to Financial Edge monthly.
• Manage and process billings and accounting for assigned program areas including reconciling of all transactions, billing, invoices, deferrals and reporting to various funders, identification of discrepancies and working with appropriate program staff to correct, as needed. 
• Maintain records of all funders of programs, guaranteeing billing is completed as required by program requirements, with some requiring weekly billings. Maintain relationships with funders as appropriate to support collection of and corrections to      billings. 
• Monitor rate changes for payers and contracts. Forward information as needed. Documentation of at least annual review of all payers in coordination with appropriate program area staff and other Finance team members.
• Analysis of all billing through review of aging reports, changes in biller processes.
• Knowledge of contract requirements specific to each service area under billing responsibility. Understanding of contract terms in order to request new contracts and review/update rate changes as needed.
• Extract billing information as requested; decipher client’s insurance packages and add them accordingly.
• Coordinate the credentialing, recredentialing, and payer enrolment processes for providers, including commercial insurance, Medicaid, Medicare, and other applicable payers.
• Prepare, submit, and track provider enrolment and credentialing applications and maintain documentation of application status, effective dates, and payer participation.
• Maintain accurate and current provider credentialing records, including licenses, certifications, NPI information, CAQH profiles, and other required documentation.
• Monitor credential expiration and recredentialing deadlines and coordinate timely renewals to prevent interruptions in provider eligibility or billing.
• Communicate with providers and payers to obtain required information, resolve enrolment issues, and follow up on pending credentialing applications.
• Verify provider enrolment and participation status with applicable payers and communicate changes that may affect billing, claims submission, or reimbursement.
• Maintain credentialing and payer enrolment tracking systems and provide status updates and reports to Finance and organizational leadership as needed.
• Collaborate with clinical, operations, and finance personnel to ensure provider information is accurate and consistent across internal systems and payer records.
• Maintain confidentiality and ensure credentialing and billing activities are performed in accordance with organizational policies, payer requirements, and applicable regulations.
• Maintain appropriate website access, billing codes for the entities and payer number and approvals for areas under billing responsibility.

For all billings and receivables, follow through with the following based on areas assigned as appropriate:

• Coordinate and prepare agendas and reporting for billing meetings. 
• Prepare all journal entries for billings and other revenue related transactions. Assist with other journals for billing related areas as identified.
• Reconcile month end billing and follow up on aged balances.
• Provide supporting documentation for audits and other requested information as it relates to billing throughout the year. 
• Prepares deposits and posts to Financial Edge.
• Tracks payments for Managed Care Organizations (MCO)’s.
• Analyze invoice and provide coding to Accounting Manager for approval.
• Reconcile accounts in Financial edge and run month end reports for analysis.
• Prepare month end close reporting in coordination with Accounting Manager and other Billing Coordinator.

Other Functions and Responsibilities:

• Cross-train and available for backup of duties assigned to other Billing Coordinator position.
• All other duties as assigned.

Qualifications:

Specific knowledge, training or skills required to perform the duties of this position including specific courses, training programs or required certifications. The requirements listed below are representative of the knowledge, skills and abilities required for the position. 

• High school diploma or a GED.
• Ability to prioritize and handle multiple tasks in a changing work environment.
• Computer skills inclusive of Microsoft office and computer databases required.
• Experience with insurance billing and terminology preferred.
• Strong knowledge of arithmetic to be able to perform simple calculations.
• Possess good analytical reasoning skills for solving problems.
• Possess strong administrative skills.
• Excellent written and verbal communication skills required.

Previous Experience that is necessary to qualify for this position:

• Minimum of two years of billing or accounting experience required.

Essential Physical Demands and Working Environment

(The physical demands and work environment described below are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.)

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

• While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, keyboard and telephone;
• Specific vision abilities required by this job include close vision requirements due to computer work;
• Light to moderate lifting is required, up to 10 pounds;
• Regular, predictable attendance is required; 
• Moderate noise (i.e. business office with computers, phone, and printers, light traffic).
• Ability to work in a confined area;
• Ability to sit at a computer terminal for an extended period of time;
• Work environment is stressful at times

REPORTS TO AND EVALUATED BY: Accounting Manager