BILLING COORDINATOR
7 days ago
Norristown
Job Description The Billing Coordinator is responsible for working with patients, the RevCycle team, and program leadership to assure that all data required for billing is captured completely, accurately, and timely in the Electronic Health Record. Duties include auditing EHR data files, training program staff on correct procedures, analyzing error trends, and developing recommendations for improved procedures. The coordinator is also responsible for providing administrative, technological, and general office support to the Program. A commitment to the RHD values should be demonstrated as job duties are performed. Major Responsibilities DIRECT DUTIES: Billing • Collect and verify patient demographic and insurance information. Input into EHR accurately. Scan insurance cards, IDs and other required documentation, • Verify insurance coverage and eligibility prior to intake/appointments., • Identifies and resolves billing queries/problems, • Researches and processes denied claims, • Prepares correspondence and/or collection letters, manage prior authorizations, authorizations, and reauthorizations, • Communicates with RevCycle and/or MCOs to answer questions and provide additional supporting documentation, • Prepares letters of appeal, • Enters data, changes, and charges into charts and billing system, generates reports. Communicates changes to staff, • Utilization review to ensure clinical records support billing (billing compliance review), • Provide receipts and ensure accurate documentation of financial transactions, • Greet patients in a professional and welcoming manner, • Inform patients of co-pays, deductibles, and other out-of-pocket expenses, • Collaborate with leadership and patients to develop payments plans. Complete all billing and/or payment plan documentation with patients. Maintain patient fiscal files., • Coverage for front desk as needed. Ensure coverage for all shifts at reception., • Coordinate with providers and other staff to manage office flow, • Reconcile daily cash, credit payments. Weekly bank deposits, • Perform monthly property inspection for safety-Fire detectors, exit lights, etc. Complete monthly report for corporation., • Complete and/or assist with regular emergency drills as required by program regulations, • Manage invoices and leases and oversee vendors. Prepare check requisitions as needed. Complete IC documentation when needed., • Maintain inventory of equipment (phones, copiers, faxes, computers), • Order all necessary supplies to ensure good working operations overall, • Manage staff parking-permits, • Prepare and distribute incoming and outgoing mail, • Participate in the overall management of the clinic, perform duties as assigned by Director to ensure continuity and quality of care. Maintains open lines of communication with leadership team, • Provide coverage for front desk as needed. Ensure coverage for all shifts at reception., • Partner with providers and staff to streamline daily office functions and maintain smooth operations, • Reconcile daily cash, credit payments. Weekly bank deposits, • Manage invoices and leases and oversee vendors. Prepare check requisitions as needed. Complete IC documentation when needed. Job Qualifications • High school diploma or equivalent (GED), • Associates degree preferred, • Four (4) years experience in a high volume medical insurance billing/AR setting, • Excellent written and oral communication skills with individuals at all levels, • Ability to meet deadlines and manage priorities and workflow, • Excellent customer service skills Network Functions Equipment/Machines: Physical Demands • Maintain and abides by OSHA requirements and guidelines, • Observes all Fire and Safety Policies and Procedures, • Observes all Fiscal/Office/ HR Personnel Policies and Procedures, • Observes all HIPAA Policies and Procedures and maintains confidentiality, • Attends all required and scheduled trainings and meetings, • Always maintain a professional demeanor and exercise good judgement in all areas of employment duties, • VEHICLE REQUIREMENTS, • Current driver’s license, driver registration and a functional vehicle, • EQUIPMENT OPERATIONS, • Telephone: Cellular - Multi-line, Calculator, Copier, Fax, Computer, • COMPUTER SOFTWARE APPLICATIONS, • Has knowledge of each program, • Knowledge of Office software programs, • Individual must be able to meet physical requirements of the job:, • Sitting at a meeting table or desk –, • Lifting – 50lbs or more Reaching – Crouch--Lifting – Bending – Standing – Stooping – Twisting – Kneeling-- Climbing steps -, • Environment(s) is modern, well-lit office facilities in multiple locations, • Multiple levels of stairs with access by elevator, • ACCIDENT, HEALTH HAZARD AND SECURITY KNOWLEDGE, • Bloodborne Pathogens, Right To Know, HIPAA, Security Acts, Fire & Safety About Company: Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment. Apis Services, Inc. and affiliate’s provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.
