Billing Coordinator

Position: Billing Coordinator

Department: Outpatient Psychiatry

Schedule: Fulltime, 7:30am - 4:30pm

Enter technical and professional charges electronically

* Assure the final diagnoses and procedure codes as stated by the physician are valid and complete with the guidance of the system edits and reports

* Obtain any necessary clarification of information on the notes and charts

* Prepare the appropriate claims documents required by each insurer

* Perform all charge follow-up such as edits, submission of supporting documents, correction of codes, incorrect balance, or incorrect demographics

* Submit, organize and track all insurance claims filed by the health care provider

* Follow up until payment is received and manage collections activities when necessary

* Answers, triages, and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member received the information. Provides routine information to callers. This often includes answering patient questions on billing and routing and/or handling collections if a patient fails to meet his or her financial obligations.

* Collect co-payments and balances

* Supports cross coverage for front desk which includes greeting patients, completing patient check-ins and answering the phones.

* Obtain prior authorizations/approvals for outpatient services as needed

* Schedules patients' appointments and appropriate testing for patients as directed.

* Verifies information from patients including demographic and health insurance information

* Prepares documents for billing physician encounters; enters data, ensures that referrals are received, etc.

* Organizes and updates files, charts, and records

* Responsible for stocking of supplies and assists in ordering supplies

* Performs other duties as requested

Knowledge, Skills and Abilities:

• Experience with electronic medical record strongly preferred (Athena and Meditech a plus)
• Experience with Microsoft Office, Word, Excel and Outlook
• Solid communication and interpersonal skills, ability to communicate with tact, courtesy and professionalism, and full understanding of HIPAA guidelines
• Advanced knowledge of medical terminology, codes and abbreviations
• Must possess strong organizing and prioritizing skills
• Ability to work independently and handle multiple priorities within a high-pressure environment

Education/Experience

• Education from approved medical administrative program or equivalent
• High School Diploma or equivalent
• 1 to 3 years of experience as a Medical Biller
• Billing and Coding certificate preferred