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San Jose, CA, USA
In-Office
Senior level
Healthtech
The Role
Manages full-cycle healthcare billing across multiple entities, including eligibility verification, authorizations, claims, coding integrity, payment posting, reconciliations, denials, appeals, accounts receivable, patient billing, collections, compliance, reporting, and confidential records. Provides training, administrative support, local errands, and occasional travel while following healthcare billing, privacy, wage-and-hour, entity-separation, and safety requirements.
Summary Generated by Built In

The Billing Coordinator is a non-exempt employee of National Psychiatric Care and Rehabilitation Services (NPCRS). NPCRS is the sole employer, payroll entity, timekeeping authority, and Human Resources authority for this position. As part of the employee’s NPCRS-assigned duties, the position performs healthcare revenue-cycle and authorized administrative support that may benefit NPCRS, Fair Oaks, Virosa, and other NPCRS-approved affiliated or commonly owned entities. The position works from a shared office and may support multiple facilities, legal entities, tax identification numbers, payer contracts, bank accounts, and operating teams. At the Level III assignment, the employee independently manages full-cycle billing for three or more companies or legal entities and may complete NPCRS-authorized office, executive-administrative, courier, errand, and light office-support assignments for designated owners or executives. 

 

All assignments must be lawful, safe, accurately recorded as time worked, appropriately prioritized, and performed within written authority, entity-separation, privacy, security, expense-reimbursement, vehicle-use, and supervisory controls. The Billing Coordinator applies current California and federal healthcare billing requirements, payer contracts, company policy, and applicable wage-and-hour requirements. The position does not make clinical determinations, independently establish medical necessity, alter clinical documentation to obtain payment, perform unlicensed patient-care functions, or agree to work off the clock. 

Essential Duties and Responsibilities 

  1. Centralized Multi-Entity Revenue Cycle 
  2. Eligibility, Benefits, Authorizations, and Financial Clearance 
  3. Claim, Invoice, and Coding Integrity 
  4. Payment Posting, Reconciliation, and Credit Balances
  5. Denials, Appeals, and Accounts Receivable
  6. Patient Billing, Customer Service, and Collections
  7. Compliance, Privacy, and Program Integrity
  8. Systems, Records, and Reporting
  9. Training, Collaboration, and Continuous Improvement
  10. NPCRS-Assigned Shared Office and Executive Administrative Support
  11.  Errands, Local Travel, Expense, and Safety Responsibilities



Minimum Qualifications 

  • High school diploma or equivalent.
  • Five years of healthcare billing, behavioral-health billing, medical accounts receivable, payer authorization, or closely related revenue-cycle experience; equivalent combinations of education and directly relevant experience may be considered.
  • Demonstrated full-cycle billing experience, including eligibility and benefits, authorization tracking, claim submission, payment posting, denial follow-up, appeals, aging, refunds, patient billing, and collections.
  • Working knowledge of commercial and managed-care billing and the ability to learn county, Medi-Cal, and other governmental billing requirements applicable to company operations.
  • Proficiency with electronic health records, payer portals, clearinghouses, spreadsheets, Microsoft Office, and secure document repositories.
  • Ability to analyze remittance information, contracts, fee schedules, aging reports, claim edits, and account activity with exceptional attention to detail.
  • Clear written and verbal communication, sound judgment, professionalism, discretion, and ability to manage confidential behavioral-health information.


Skills Required

  • High school diploma or equivalent.
  • Five years of healthcare billing, behavioral-health billing, medical accounts receivable, payer authorization, or closely related revenue-cycle experience; equivalent combinations of education and directly relevant experience may be considered.
  • Demonstrated full-cycle billing experience, including eligibility and benefits, authorization tracking, claim submission, payment posting, denial follow-up, appeals, aging, refunds, patient billing, and collections.
  • Working knowledge of commercial and managed-care billing, with the ability to learn county, Medi-Cal, and other governmental billing requirements.
  • Proficiency with electronic health records, payer portals, clearinghouses, spreadsheets, Microsoft Office, and secure document repositories.
  • Ability to analyze remittance information, contracts, fee schedules, aging reports, claim edits, and account activity with exceptional attention to detail.
  • Clear written and verbal communication, sound judgment, professionalism, discretion, and ability to manage confidential behavioral-health information.
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The Company
HQ: San Jose, CA
Year Founded: 2013

What We Do

National Psychiatric Care and Rehabilitation Services (NPCRS) is a specialized inpatient treatment program focused on helping adults in crisis achieve lasting recovery through personalized psychiatric care. The organization provides care for individuals struggling with mental illness and co-occurring substance use disorders, offering short-term residential programs and evidence-based therapies in a supportive, low-stress environment designed to help patients stabilize psychiatric crises and regain balance.

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