Senior Billing Coordinator

Job Responsibilities & Essential Functions

• Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
• Ability to work independently
• Comprehensive understanding of medical billing
• Strong organizational skills
• Excellent written and verbal communication skills
• Great computer and software skills, especially with Excel; experience with Evolv or other electronic health records a plus
• Rewire and sustain the finance setup area of the current billing system to optimize functionality and ensure seamless operations
• Responsible for all aspects of non-contract medical billing for all pay sources, including claim filing, cash posting, rebilling denials, collections, etc.
• Maintain systems and reports to ensure that client insurance authorizations are obtained and timely entered into the billing system
• Audits current procedures to monitor and improve efficiency of billing and collection operations
• Maintain working knowledge of all health information management issues such as HIPAA and all health regulations
• Works with IT department on enhancements and modifications to the billing system
• Create and produce reports to provide data to the Executive Director, Program Managers and Fiscal Department
• Train and provide individual supervision to Billing Department personnel
• Obtain health insurance authorizations
• Verify health insurance eligibility
• Prepare and submit billing to assigned payors/insurance companies
• Prepare deposits; distribute/post payments for assigned payors/insurance companies
• Follow up on billing questions for clients as well as clinical staff
• Follow up on outstanding balances with assigned payors/insurance companies
• Maintain payment status and billing records
• Track and resolve billing discrepancies
• Flag write-off recommendations for assigned payors/insurance companies
• Prepare client billing statements, review for accuracy and ensure that they are sent in a timely manner
• Perform analysis of billing documents
• Participate in independent education and training opportunities