Medical Billing Coordinator

Billing Coordinator

Responsibilities

• Ensure that Medicaid and third-party billing claims are submitted in a timely manner.
• Coordinate daily billing priorities.
• Ensure that all clinician and psychiatrist services are billed weekly after verification and finalization of progress notes.
• Review rejected or denied Medicaid claims, correct claims that are eligible for rebilling, and resubmit claims on a weekly basis.
• Review rejected or denied third-party claims, correct claims that are eligible for rebilling, and resubmit claims on a weekly basis.
• Prepare a weekly report of Medicaid claims that remain in denied status, including the reason for denial and proposed corrective actions for presentation at the weekly Billing Meeting.
• Prepare weekly Early Intervention (E.I.) billing and rebills (temporary assignment).
• Complete reconciliation of Early Intervention (E.I.) services (temporary assignment).
• Prepare weekly reports for the collection of third-party and foster care claims.
• Prepare a weekly report reflecting the number of services billed and held for Medicaid and third-party carriers. The report will also include the number of claims resolved from the "to be billed" category during the previous week.
• Prepare a weekly report capturing total dollars billed for all pay sources, along with a semi-monthly comparison report.
• Prepare monthly third-party, co-pay, and self-pay statements. Provide a summary report indicating the number of statements generated and the amount of revenue collected.
• Communicate any billing-related problems, issues, or impediments to the supervisor on a daily basis, as applicable.
• Prepare duplicate visit reports and suspense reports.
• Verify insurance coverage for new clients and communicate findings to the Intake Department in a timely manner.
• Verify claim acceptance within billing batches.
• Assist with Medicaid and third-party payment posting.
• Ensure that service authorizations are obtained and maintained.
• Ensure that weekly and monthly productivity reports are completed.
• Update demographic information in Anasazi, as applicable.
• Ensure that system configurations in Anasazi are completed, as applicable.
• Ensure that PTAR is completed accurately and submitted monthly in a timely manner.
• Provide coverage as needed and perform other duties and assignments as directed by the Supervisor.

Qualifications

• Knowledge of Medicaid and third-party billing procedures.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency in billing systems and electronic health record systems, including Anasazi.
• Strong written and verbal communication skills.
• Ability to work independently and as part of a team.