Billing Coordinator

BILLING COORDINATOR

Section 2:
Position Purpose

The Billing Coordinator will accurately reconcile and review billing data to ensure prompt and accurate billing. Gathers and reconciles bills with daily census data and reviews bills for potential for approval. Provides customer support in regard to billing inquires and issues.

Section 3:
Major Responsibilities

• Identifies and resolves billing queries/problems.
• Researches and processes denied claims (Returns)
• Prepares correspondence and/or collection letters.
• Communicates with MCOs to answer questions and provide additional supporting documentation.
• Prepares letters of appeal to MCOs if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers.
• Enters data and charges from charts into the billing system; generates all required reports.
• Utilization review to ensure clinical records support billing
• Processes MCO prior-Authorization coordination and tracking of units
• Creates MCO-staff rosters and credentialing
• Generates MCO data reports weekly
• Generates Avatar and BHL reporting and data analysis
• Liase with LA Dept of Health and MCO's under direction of PD
• CARELON data system and reports
• Performs other administrative duties as assigned by manager.
• BH First Responder when needed or scheduled

Section 6:
Job Qualifications and Competencies

Job Qualifications:

• High school diploma or equivalent. (GED)
• Associates degree preferred.

Education and Experience:

• Knowledge of MCO billing/collection practices.
• Minimum two (2) to four (4) years related experience

Job Competencies

• Excellent written and oral communication skills
• Knowledge of medical billing terminology.
• Ability to perform diversified clerical functions and basic accounting procedures.
• Ability to effectively communicate with people at all levels
• Commitment to excellence and high standards.
• Strong organizational, problem-solving, and analytical skills.
• Ability to meet deadlines and manage priorities and workflow.
• Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
• Acute attention to detail.
• Ability to work independently and as a member of various teams and committees
• Proficiency in MS Office programs and customized billing software
• Excellent customer service skills
• Ability to understand and follow written and verbal instructions.
• Accurately complete detailed forms and reports.

Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment.

Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law.

This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.