Accounts Receivable Billing Coordinator

Position : Accounts Receivable Billing Coordinator Location : Terre Haute, IN

Job Id : 2134 # of Openings : 1 Accounts Receivable Billing Coordinator Position Summary We exist to provide the highest quality service to our consumers in the areas of billing and collecting of patient accounts.

Our goal is to create an atmosphere of friendliness, cooperation and trust in which our staff and consumers will be comfortable discussing monetary matters.

Our role is to serve our consumers through sound financial practices, prompt efficient processing of information and adherence to regulations, policies, and procedures.

We believe in the value and worth of all people and feel they are entitled to respect, honesty, and understanding. Essential Duties / Responsibilities To perform this job successfully, an individual must be able to perform the daily activities of the Patient Account Representative with little supervision and be capable of making decisions that are required to carry out the mission of the Patient Accounts department.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Maintain electronic billing systems through our clearinghouse and direct format i.e. being the administrator across the different billing platforms.
• Manage all client account collections and payment arrangements.
• Define new methods and services to enhance the quality of internal processes to reduce departmental errors.
• Assists customer with terms to secure payments for the past due amount or establishes an alternative payment plan and / or reviews and process accounts for collections.
• Manage multiple tasks simultaneously.
• Create and maintain EMR (Electronic Medical Record) service master and payer master.
• Create and maintain EMR (Electronic Medical Record) electronic claims systems through our clearinghouses and direct format.
• Review and interpret operational data to assess need for procedural revisions and enhancements; participate in the design and implementation of specific systems to enhance revenue and operating efficiency.
• Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
• Maintain a working knowledge of all health information regulations such as HIPAA (Health Insurance Portability and Accountability Act).
• Understand and remain updated with current claims coding, regulation, and compliance requirements regarding ICD-10, CPT (current Procedural Terminology) & HCPCS (Healthcare Common Procedure Coding System).
• Regularly provide CFO (Chief Fiscal Officer) with revenue cycle status including reports, metrics, and presentations. Develop, monitor, and assess business metrics to refine processes and improve efficiencies.

Establish internal goals and identify internal benchmarks.

• Identify revenue cycle problems and implement reliable solutions for improvement; continually identifying opportunities to automate processes and maximize collections.
• Meet regularly with supervisor to exchange pertinent information and receive supervision.
• Participate in various agency meetings and activities as required.
• Participate in training activities to improve job knowledge and skills as assigned or approved.
• Monitor all bulletins and updates from Medicare, Medicaid, and other third-party payers. Notify appropriate staff of changes or additions.

Coordinate efforts with Clinical Directors to provide updates of policies and procedures to all necessary staff.

• Monitor all aging reports for all payers and assist staff in the review process and offer guidance.
• Review payer allowable rates and advise supervisors of any changes that should be reviewed on a regular basis.
• Prepare various reports regarding revenue, adjustment, receipts for management and understand the reports to participate in discussions.
• Communicate with payer / local vendors on a regular basis that involve fee for service billing
• Understand grant funds and LCC funds and how they are received and processed on the accounts receivable side.
• Have a clear understanding of OTP claim system, billing and credentialed providers.
• Communicate with management on a regular basis.
• Participate in contract negotiation discussions with Quality and Compliance department.
• Prioritize tasks to meet all deadlines.
• Performs other duties as assigned. Minimum Qualifications / Requirements
• Associates degree preferred.
• Three-year’s experience : medical billing procedures; accounting principles; data entry and retrieval.
• Working knowledge of collection policies, practices, laws and applicable regulations, regarding Medicaid, Medicare and major commercial insurance agencies.
• Excellent computer skills, Microsoft Excel and Microsoft Outlook experience strongly preferred.
• Electronic Medical Record experience strongly preferred.
• Basic skills : office / clerical, math, written and oral communications.
• Ability to use basic office equipment : i.e., copy / fax machine, calculator, etc.
• Excellent customer service skills.
• Willingness to use personal transportation in work capacity. Certificates, Licenses, Registrations
• Valid driver’s license in accordance with HCI motor vehicle policy.
21 days ago