Billing Coordinator

Description

• Coordinate and manage billing and collection activities for assigned programs of Benjamin Rose and its subsidiaries, ensuring timely and accurate billing, payment collection, reconciliation, and compliance with program and payer requirements.

The following description is a general representation of the key duties and responsibilities of the position.

• Assist in weekly deposits for all areas of Benjamin Rose and subsidiaries and identification of restrictions and coding with Institutional Advancement and recording to Raisers Edge and the general ledger as appropriate. Reconcile gifts in Raiser’s Edge to Financial Edge monthly.
• Manage and process billings and accounting for assigned program areas including reconciling of all transactions, billing, invoices, deferrals and reporting to various funders, identification of discrepancies and working with appropriate program staff to correct, as needed.
• Maintain records of all funders of programs, guaranteeing billing is completed as required by program requirements, with some requiring weekly billings. Maintain relationships with funders as appropriate to support collection of and corrections to billings.
• Monitor rate changes for payers and contracts. Forward information as needed. Documentation of at least annual review of all payers in coordination with appropriate program area staff and other Finance team members.
• Analysis of all billing through review of aging reports, changes in biller processes.
• Knowledge of contract requirements specific to each service area under billing responsibility. Understanding of contract terms in order to request new contracts and review/update rate changes as needed.
• Extract billing information as requested; decipher client’s insurance packages and add them accordingly.
• Coordinate the credentialing, recredentialing, and payer enrolment processes for providers, including commercial insurance, Medicaid, Medicare, and other applicable payers.
• Prepare, submit, and track provider enrolment and credentialing applications and maintain documentation of application status, effective dates, and payer participation.
• Maintain accurate and current provider credentialing records, including licenses, certificates, NPI information, CAQH profiles, and other required documentation.
• Monitor credential expiration and recredentialing deadlines and coordinate timely renewals to prevent interruptions in provider eligibility or billing.
• Communicate with providers and payers to obtain required information, resolve enrolment issues, and follow up on pending credentialing applications.
• Verify provider enrolment and participation status with applicable payers and communicate changes that may affect billing, claims submission, or reimbursement.
• Maintain credentialing and payer enrolment tracking systems and provide status updates and reports to Finance and organizational leadership as needed.
• Collaborate with clinical, operations, and finance personnel to ensure provider information is accurate and consistent across internal systems and payer records.
• Maintain confidentiality and ensure credentialing and billing activities are performed in accordance with organizational policies, payer requirements, and applicable regulations.
• Maintain appropriate website access, billing codes for the entities and payer number and approvals for areas under billing responsibility.

For all billings and receivables, follow through with the following based on areas assigned as appropriate:

• Coordinate and prepare agendas and reporting for billing meetings.
• Prepare all journal entries for billings and other revenue related transactions. Assist with other journals for billing related areas as identified.
• Reconcile…