Billing and Office Coordinator- Home Care - Serenity Care Resources

The Serenity Care Resources Billing and Office Coordinator will aid with managing the day to day billing
operations and schedules of the agency. The Billing and Office Coordinator is proficient in supporting all
administrative functions of the billing department. The role requires scheduling and staffing caregivers
appropriately with the elderly or disabled clients who have contracted with SCR for services in their homes.
The Care Staff Coordinator/Office Manager must be an outgoing person with a caring, compassionate heart
who enjoys talking with others and making a difference in people’s lives.

Essential Functions:

• Must be able to provide guidance and direction to others.
• Broad base of work experience in the field of Care Giving, billing and office coordination
• Strong organizational and attention to detail, preferably in Homecare Billing
• Have the ability to work in a fast-paced environment while being able to shift priorities
• Process weekly daily/weekly billing for all clients in EVV system
• Acute and expert knowledge of EVV systems, its workings and reports.
• Strong interpersonal and communications skills
• Ability to carry out responsibilities in a professional, accurate and confidential manner
• Able to work with diverse cultures
• Able to work an on-call rotating shift
• Required pool rotation to fill in during care giver absences

Billing Coordinator Responsibilities

• The Billing Coordinator is responsible for submitting and follow up on all Medicaid, Commercial, third party and private payers as assigned.
• Submits all claims for Medicaid, Commercial, and Managed Care and third-party payers for Serenity Care Resources LLC as assigned.
• Completes all rejections errors/edits at time of claim submission.
• Works with Director, Office Manager and Administrative Assistant to maintain Schedules, Dashboards and  Reports.
• Researches and analyzes reports, denial data; identifies, analyzes, and researches frequent root causes of denials and develops plans for resolution of denials
• Contact insurance carriers through website, email or telephone to resolve outstanding accounts
• Analyze and resolve moderately complex insurance denials including coding review to prevent errors within appeals process
• Write appeals to promptly resolve billing issues.
• Prioritizes activities to work overturns in a timely manner to alleviate untimely filings
• Uses reports that categorize denials to work to overturn denials
• Identifies and pursues opportunities for improvements in denial performance
• Manage correspondences and any requests as defined within department workflow procedure to ensure timeless and accuracy of response; works with all outside vendors, Services coordination agencies, medical records, keepers and clinical reimbursement team MCO’s for all clinical reviews and information pertaining to clients record.
• Assist with all chart audits and maintain documentation
• Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coverage, benefits, and reimbursement on all insurance accounts
• Researches rejections included in EOBs & Remittance advices for resolution and files appropriately
• Makes management aware of any issues or changes in the billing system, insurance carriers, and/or networks
• Maintain internal logs (Excel format)
• Assist with Month End Close Processes
• Maintain internal logs (Excel format)
• Other duties as assigned

Office Coordinator Responsibilities

• Follow office workflow procedures to ensure maximum efficiency
• Lead point of contact for EVV Issues, working until full resolution
• Maintain files and records with effective filing systems
• Manage phone calls and correspondence (e-mail, letters, packages etc.)
• Monitor office expenditures and handle all office contracts (rent, service etc.)
• Perform basic bookkeeping activities and update the accounting system
• Perform Back Ground Checks of Employees
• Maintain office equipment (aka ensure copiers are operational and fully stocked with toner, paper, etc.)
• Monitor office supplies inventory and place orders
• Support meeting and conferencing needs
• Maintain a clean and organized office environment
• Assist in vendor relationship management
• Other duties as assigned

Preferred Qualifications:

• 4 year college degree is preferred for this position.
• 2 yrs serving in capacity of medical biller or office coordinator/manager
• Being part of a caring compassionate team who makes a difference in people’s lives every day

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