Billing Coordinator

Billing Coordinator

To function as a member of the administrative team and complete all daily tasks to ensure smooth day-to-day operations in busy practice located in Brighton, MA.

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 :

Equal Opportunity Employer / Disabled / Veterans

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