This position will report to the Billing Manager. Billing Coordinator will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. Daily duties will include maintaining billing software, appealing denied claims, and Accounts Receivable follow up activities. Ability to multi-task, good communication skills, team player yet quick independent thinker with a strong work ethic a must.

Duties

· Handles complex patients’ complaints and issues by explaining company policies and guidelines as well as those involving compliance issues with state and federal regulations

· Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses

· Process and follow up on payer denials, consulting with the patient and/or his or her family as needed

· Communicating with insurance company representatives to track payments, research denials, and any other claims follow up activity.

· Effective use payor portal or other payor resources to ensure efficiency

· Research and resolve insurance billing problems or issues, submitting appeals as needed

· Review AR aging to ensure compliance

· Carry out billing, collection and reporting activities according to specific deadlines

· Submit reimbursement requests to Medicaid and Commercial Payors

· Maintains confidentiality of all information.

· Follow policies and procedures related to performance metrics

· Performs other duties as required.

• Excellent communication skills - written and verbal
• Experience with ICD-10, CPT, and HCPCS codes
• Proficient in Microsoft Office
• Problem Solving/Analysis skills
• Experience with electronic billing and records systems
• Effective time management skills
• Bachelor’s degree in business or related field preferred
• Experience with ABA billing required

Physical demands:

Under normal circumstances the employee will need to have the physical capacity to continuously use his/her hands for simple and firm grasping and fine manipulation. The employee may be required to do the following:

• Physically able to bend, stand, stoop, or sit for long periods of time
• Lift and carry up to 25 lbs.
• Push / Pull up to 50 lbs.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands may vary for each client. You will be provided with more information if special physical demands are needed for a client.