Billing Coordinator

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)