Billing Coordinator

Company: CAIPA MSO LLC
Location: New York
Posted on: November 7, 2024

Job Description:

Description:The Billing Coordinator (Generalist) is responsible for multiple components of the billing process, including Charge Entry, Edits, Payment Posting / Reconciliation, Accounts Receivable (denials and appeals). Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.
Duties: --- Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions--- Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures--- May run workbench reports and communicate with appropriate parties for missing charges--- Posts payments / adjustments from paper EOBs and ERAs using approved methodologies with strong reconciliation skills.--- May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff--- Works system edits and clearinghouse rejections. Proficient in moderate to complex encounters and problematic accounts--- Works daily Accounts Receivable accounts via online workfile and/or hard-copy reports; checks claim statuses, re-submits claims, edits, denials and process appeals which includes submit claim reconsiderations and writes appeal letters on a timely basis --- Researches unidentified / missing checks and communicate with appropriate parties for replacements--- Works credit balance report to ensure adherence to government regulations/guidelines--- Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations--- Identifies and assists in resolves credentialing issues --- Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns--- Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in training new staff--- May be responsible for collection of time-of-service payments, and maintaining daily transaction record of collected payments--- Maintains working knowledge and current in third party payer requirementsRequirements:

• Associates Degree or high school diploma/GED plus 3 years of relevant experience
• CPC Preferred
• Trained in computerized medical billing
• 3 years' experience in medical billing or health claims in a health care or insurance environment, and familiarity with ICD/CPT coding Benefits
  • Health Benefits: Medical, Vision and Dental
  • 401k retirement plan
  • Paid Time Off
  • Hybrid Work ModelSalary Range:
    • 40k-60k
      
      
      
      
      PI419c08600682-37248-33572842

Keywords: CAIPA MSO LLC, Plainfield , Billing Coordinator, Accounting, Auditing , New York, New Jersey