Billing And Revenue Cycle Coordinator- Castle PA, Lawrence

The Billing and Revenue Cycle Coordinator is responsible for managing all aspects of billing, payment posting, and accounts receivable for VA, Private Pay, Options, ACT
150, and OBRA programs. This role ensures accurate and timely billing across multiple funding sources, investigates payment discrepancies, and supports compliance-related tracking and reporting.

• Process billing for multiple programs, including VA, Options, LINKS, Act 150, OBRA, and Private Pay.
• Review, investigate, and resolve claim rejections and invalid invoices.
• Prepare and submit appeals for denied or underpaid claims.
• Ensure all billing is completed accurately and within required timelines.

• Post payments manually and through Electronic Remittance Advice (ERA).
• Reconcile payments and update the Daily Deposit Spreadsheet to reflect all received funds.
• Investigate and resolve open balances and discrepancies in accounts receivable.

• Enter and maintain new consumer records in the system.
• Input and update authorizations for VA, Options, and Private Pay services.
• Ensure all authorizations align with billing requirements and service delivery.

• Monitor aging reports and follow up on outstanding balances.
• Research and resolve unpaid or partially paid claims.
• Maintain accurate financial records and documentation.

• Track NHT (Nursing Home Transition) payments and ensure proper documentation.
• Maintain organized records of billing activity, payments, and compliance tracking.
• Assist with audits and provide documentation as needed.

• 2 Years Experience with medical or human services billing. (PAS/HCBS preferred)
• Knowledge of Medicaid waiver programs and payer requirements (VA, OPTIONS, OBRA, etc.)
• Familiarity with ERA processing and claims management systems
• Strong attention to detail and problem-solving skills
• Proficiency in spreadsheets and data tracking (Excel preferred)
• Ability to manage multiple tasks and meet deadlines

• Experience with accounts receivable and revenue cycle processes
• Understanding of compliance requirements in home and community-based services
• Strong communication skills for payer follow-up and appeals

Pay Rate Is Bases Upon Experience!