Medical Billing Coordinator - Community Behavioral Health Center
Beachwood, OH 44122
About the Job
MEDICAL BILLING & REIMBURSEMENT COORDINATOR
Community Behavioral Health Center (CBHC), a community mental healthcare provider, is seeking a motivated Medical Billing & Reimbursement Coordinator to join our team. This is a full-time, on-site position and an ideal position for an ambitious individual with excellent technical capabilities to help manage a growing .
General:
Eligibility:
Billing Process:
Skills and Knowledge Required:
Credentials / Academic Requirements:
Bachelor degree with 5 years, or High School Diploma with 8 years of managing billing in an EHR system.
Community Behavioral Health Center (CBHC), a community mental healthcare provider, is seeking a motivated Medical Billing & Reimbursement Coordinator to join our team. This is a full-time, on-site position and an ideal position for an ambitious individual with excellent technical capabilities to help manage a growing .
General:
- Collaborate with agency staff, including the CEO, to address billing-related issues and recommend process improvements.
- Verify client insurance details, track unpaid claims, and manage the collection of payments to maximize reimbursement.
- Maintain daily account and follow-up work lists.
Eligibility:
- Manage all aspects of client eligibility verification, claims submission, erroneous billing correction resubmission, and reporting.
- Verify the clients’ records contain documentation of client eligibility to receive services.
- Assist the Compliance Officer with all applications to ensure contract compliance with MCOs, Medicaid, Medicare, and any future insurance.
- Assist the Compliance Officer with Medicaid & Medicare Revalidations.
- Ensure employee licenses are up to date in Medicaid, Medicare, commercial and any future insurance systems.
Billing Process:
- Oversee accurate and timely pre-billing review, billing, follow-up, and reconciliation posting.
- Resolve insurance claim rejections/denials, and non-payment of claims by payors.
- Draft effective appeals to insurance companies for reimbursement of monies owed.
- Maintain & update billing matrix in EHR system of contracted insurance companies.
- Provide support to the CEO regarding failed activities and failed and denied claims.
- Assist with billing audits and internal reviews to ensure compliance.
- Responsible for the timely and accurate updating of Agency accounts receivable and the generation of Ad Hoc reports requested by the CEO.
Skills and Knowledge Required:
- 5 years of proven Medicaid and Medicare billing and claim reconciliation experience.
- Understanding of healthcare billing regulations and compliance requirements.
- Advance knowledge of third-party claims and clearinghouse.
- Ability to work with little or no supervision; must be self-motivating and flexible.
- Computer proficiency using Microsoft Office 365, including Word, and advanced knowledge of Excel.
- Strong analytical and problem-solving skills.
- Ability to communicate and collaborate constructively with a variety of internal and external personnel
Credentials / Academic Requirements:
Bachelor degree with 5 years, or High School Diploma with 8 years of managing billing in an EHR system.
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Source : Community Behavioral Health Center
