Position: Billing Coordinator

Department: Corporate Office
Reports to: Home Health Administrator
Status: Full-time

Primary Function:

To play a critical role in ensuring that reimbursement is received for services provided to clients, by being responsible and accountable for efficient billing and collections operation and effective accounts receivable management.

Company Expectations of the Employee:

  • Learn the mission of the organization.
  • Adhere to all Company policies and procedures.
  • Demonstrate flexible and efficient time management techniques.
  • Prioritize workload so as to meet productivity standards and applicable deadlines.
  • Communicate with Home Health Administrator a regular basis about project status and issues.
  • Establish and maintain positive interpersonal relations with internal and external customers.
  • Report to work on time and prepared to perform duties of position.

Essential Duties and Responsibilities:

Billing:

  • Submit accurate claims to external and internal customers in a timely manner, make corrections and resubmit claims as necessary, communicate and interact with external customers about claims questions, develop and maintain accurate systems for tracking productivity, post payments received to accounts, scan documents for filing, develop and implement methods for collecting past due and denied claims.
  • Submit claims to external and internal customer for Company service.
  • Perform administrative  duties as assigned.
  • Conduct a billing audit process to ensure compliance with all regulation prior to submission of billing.
  • Maintain billing and client accounts record files in accordance with generally accepted accounting principles and in compliance with local, state, and federal laws.
  • Submit clean claims on a weekly and other frequent basis as needed.
  • Retrieve Claim Acknowledgement Reports and resolve all issues in a timely manner.
  • Retrieve Remittance Advices and post to Home Solutions when confirmation of deposit is received.
  • Resolve all denied and unpaid claims from Remittance Advices in a timely manner.
  • Generate Accounts receivable reports on a weekly basis, and account for all outstanding claims in writing.
  • Generate Unbilled/ Unbillable Activity Reports on a weekly basis and follow- up with agency personnel as required to resolve unbilled and unbillable reasons.

Requirements:

Education: Minimum of high school diploma or GED. Some post-secondary coursework strongly preferred.

Experience:

  • Minimum of two years dedicated medical claims experience.
  • Demonstrated ability to accurately apply Medicare, state, and private claims submission policies.

Skills:

  • Strong interpersonal skills.
  • Able to maintain strict confidentiality with regard to protected and sensitive information.
  • Must be able to work and solve problems independently by applying analytical and logical thinking.
  • Able to use standard office equipment and software proficiently.

Language Skills:

  • Able to read and interpret reports, general business directives, and policy and procedure statements.
  • Able to write routine business reports and correspondence.
  • Able to respond tocommon inquiries and complaints from internal and external customers.
  • Able to professionally communicate with internal and external customers. Able to organize and present basic reports and information to applicable internal parties.

Math Skills:

  • Able to calculate figures and amounts in whole and percentages.
  • Able to perform basic computations such as averages and ratios.
  • Able to read and interpret visual data in charts and graphs.
  • Able to apply basic concepts such as algebra and probability as necessary.

Reasoning Skills:

  • Able to define problems, collect data, establish facts, and draw valid conclusions.
  • Able to apply common sense understanding to carry out detailed written or oral instructions.
  • Able to deal with problems involving concrete variables in standardized situations.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, talk, hear, and use hands to finger, handle, or feel objects, tools, or controls for extended periods of time. The employee will also occasionally be required to stand, walk, climb, balance, stoop, kneel, crouch, crawl, and reach with hands and arms. The employee will occasionally be required to lift and/or move up to 25 pounds. The employee must have adequate (with correction) close vision, distance vision, depth perception, and the ability to adjust focus.

Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. There is no significant exposure to extreme environmental conditions. The noise level in the work environment is usually moderate with voices, office equipment, and foot traffic sounds often being present. The employee may occasionally be required to travel to off-site meeting or training locations where different environmental conditions may exist.

Employer’s Rights: This job description is not meant to be all-inclusive and does not list all the duties of the position. The employee may be asked to perform additional tasks as operational need necessitates or in response to evolving business conditions. The employee will be evaluated on the performance and successful completion of tasks listed herein, as well as any other duties that may be assigned. Functional Independence, Inc. retains the right to revise this job description at any time.

All other duties assigned by supervising manager.