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 management
- Verify 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 Reach
- Track 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 ones
- Check 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 Request
- Catalight 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)