Behavior Health Reimbursement Coordinator

LifeView Group•Pensacola, FL

44d

About The Position

The Reimbursement Coordinator is responsible for accurately and timely processing commercial payments, self-pay payments, managing adjustments and processing refunds for clients’ accounts. This position will also audit client’s accounts for accuracy of timely payments and refer appropriate accounts to the outside collection agency. The Reimbursement Coordinator will ensure all payments are entered into the system and applied to the appropriate accounts timely. This position is required to develop and maintain a working knowledge of insurance billing and insurance regulations. Assist with month end closing as needed. Answer internal and external calls and emails. Must have a thorough knowledge of insurance regulations and contracts to ensure correct payments are received. Must have a thorough knowledge of accounting principles to ensure accurate reconciliation of client’s accounts. Manage aged accounts within the guidelines set forth in the departmental Policy and Procedure manual. Report any billing concerns/issues to the Director of Reimbursement Services. This position will work closely with finance, accounting and co-workers to identify best practices for ongoing reimbursement enhancements. Job duties are expected to be executed with considerable independence, must possess outstanding attention to detail and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.

Requirements

Associate (AA) degree preferred.
Three (3) years medical billing or relevant business experience preferred.
In lieu of degree a high school diploma; GED with five (5) years relevant business experience may be substituted.
Must have strong verbal and written communication skills.
Must have strong organizational skills with the ability to prioritize responsibilities.
Must be able to work independently and have good decision-making skills.
Must have the ability to solve issues and know when to request assistance.
Must have a thorough understanding of claims processing, payments and collections.
This position will require the ability to research and analyze data and provide immediate feedback to the management team as requested.
Must maintain professional effective working relationships with internal and external customers.
This position requires proficient computer skills, including Microsoft Office.
Thorough understanding of HIPAA guidelines and regulations regarding confidentiality and Release of Information regarding medical/billing records.
Practice proper telephone etiquette and provide excellent customer service.
Must be able to pass organization screening requirements, including state or federal background screenings as required.

Responsibilities

Accurately and timely processing commercial payments, self-pay payments, managing adjustments and processing refunds for clients’ accounts.
Audit client’s accounts for accuracy of timely payments and refer appropriate accounts to the outside collection agency.
Ensure all payments are entered into the system and applied to the appropriate accounts timely.
Develop and maintain a working knowledge of insurance billing and insurance regulations.
Assist with month end closing as needed.
Answer internal and external calls and emails.
Maintain a thorough knowledge of insurance regulations and contracts to ensure correct payments are received.
Maintain a thorough knowledge of accounting principles to ensure accurate reconciliation of client’s accounts.
Manage aged accounts within the guidelines set forth in the departmental Policy and Procedure manual.
Report any billing concerns/issues to the Director of Reimbursement Services.
Work closely with finance, accounting and co-workers to identify best practices for ongoing reimbursement enhancements.
Execute job duties with considerable independence, must possess outstanding attention to detail and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.