Billing Coordinator

POSITION SUMMARY

This position is accountable for the general billing activities of the office. Responsible for submission of all claims, collections, and other accounts receivable functions of the agency.

JOB RESPONSIBILITIES

• Prepares claims for submission and submits claims either manually or electronically per agency protocol.
• Enters client data into system and ensures accuracy.
• Collaborates with clinical staff and supervisors to assure information required for accurate billing is received.
• Monitors accounts receivables and resubmits claims as needed, enlists assistance as needed and prepares reports as needed.
• Prepares, analyzes and maintains financial and statistical reports.
• Demonstrates knowledge of all payer contracts and follows specific requirements of each account when submitting claims.
• Reconciles Medicare reimbursement reports from the intermediary with agency's internal information systems.
• Ensures confidentiality of patient and agency information through effective controls.
• Maintains agency tracking mechanisms in place for EFT's, claims billing submission and other tracking logs as needed.
• Processes discharged charts and breakdowns to close files.
• Verifies signed physician orders prior to claim submission.
• Completes all reports in a timely manner.
• Performs job in compliance with agency policies and applicable laws.
• Communicates necessary information to management staff to assure accuracy of data and coordination of agency functions.
• Processes, posts, and reconciles payments received.
• Utilizes the aging report to monitor account balances and establish priorities for collection efforts.
• Adheres to established closing schedule and agency timelines.
• Communicates effectively with patients, families, and other health care providers as needed.

REQUIRED KNOWLEDGE, SKILLS, EXPERIENCE

• High School Diploma and minimum of (2) years of additional training in business or accounting. AS or BA in accounting or business administration preferred.
• Minimum of (2) years experience in health care billing/collections preferably in home care.
• Demonstrated knowledge of Medicare and Insurance processing, medical terminology and coding.
• Strong verbal and written communication skills and telephone technique.
• Strong problem-solving skills and organization skills.