Job Scope:
The Billing Coordinator arranges, oversees, and/or performs a variety of accounts receivable and billing administration activities on behalf of the organization.
This position is the first point of contact for invoicing and payment processing.
Key Responsibilities: Prepare and submit claims to insurance companies, government agencies, and other payers every day.Prepare and update daily billing reports.Prepare payment reports as they come.Monitor upcoming payments and report to managementVerify with the Intake Department the client insurance eligibility and benefits.Coordinate with clinicians and administrative staff to ensure that all services rendered are appropriately billed.Apply all the payments received on Central ReachTrack and follow up on unpaid claims and denied claims.Identify and resolve billing discrepancies.Prepare and submit monthly billing reports to management.Ensure compliance with all insurance and billing regulations and requirements.Perform other duties as assigned. Daily Tasks Check CCHP checks & Office Ally portal.
Message PS & BCBA regarding open sessions Check emails & google chats and help people who need help.
Before billing check CCHP and make sure codes are the correct after-hours onesCheck PHC sessions and make sure it has the correct codes Do the billing and once again double check all insurances have the correct codes.Save the claims to the correct folder & with the correct information.Print billing reports fill out the following spreadsheets:"Billing Projection Monthly" "Request To Purchase" "Billing Worksheet" Bi-Weekly Task Make sure all hourly employees have converted sessions for the pay period.Check mileage 1 by 1 to ensure BTs are getting the correct mileage or remove unnecessary mileage.
Either notify IT when payroll is ready or run it When working on the "Billing Worksheet" also create invoices at the end of the month or at the end of the RequestCatalight invoice at the end of each pay period Print needed reports for Claudia. Monthly Task Make sure all employees have converted their sessions.All saved documents from the insurances throw them out and just keep the ones from 6 months.Work on the monthly spreadsheets "Employee Hours""Indirect vs Direct""Cost Operative""Billing by Client" "Billing by Employee" Other Miscellaneous Task Apply payments for all insurances & work on denials.
Scan EOB's and add them to the correct folder.Meet with new PS, ACS, or BCBA and go over the codes and how to bill.Talk/meet BT's who are having trouble with the billing and go over it one more time.
Connect/disconnect employees from the codes.
When a statement is received or given to me add it on QBO Open the mail received and work on it. Update the following spreadsheets when needed.
"Central Reach Clients" Checks Report""Client Auth Expiration" "Conciliation Checks" "Marble Bridge Collections" "Total Owed" "Service Codes" Qualifications/ Requirements: Bachelor's degree in business administration, healthcare administration, or related field preferred.Minimum of 2 years of experience in medical billing or healthcare billing.Knowledge of insurance and billing regulations and requirements.Strong organizational skills and attention to detail.Excellent communication skills, both written and verbal.Ability to work independently and as part of a team.Proficiency in Microsoft Office, particularly Excel.Experience with electronic medical records and billing software preferred. Licenses, Certifications Driver's License (Required)Fingerprint clearance (both DOJ and FBI)