Billing Coordinator II

Child Guidance Resource•Haverford Township, PA

About The Position

The Billing Coordinator II assists the Revenue Cycle Manager with claims resolution, denial management, as well as processing private and public insurance authorization and benefits. Primary functions include research and resubmission of rejected claims, maintenance of excel worksheets related to cash receipts, performing liaison services with payers and various other billing responsibilities. Who is CGRC? CGRC is a premier behavioral health provider that embraces our employees as partners in our organization's strategic plan. What can CGRC do for you? Do YOU want to be a Change Agent? If so, we want you to be a part of the Child Guidance partnership. Working here means being open to new experiences both as an individual and as part of a team. We offer the opportunity to develop your leadership competencies and career interests on a personal level. Join any of our organizational committees, task forces, or work groups. It is important to us that you enjoy a healthy work-life balance, and we will encourage you to have personal goals that focus on self-care. At CGRC, you can enjoy a relaxed working environment with flexible work schedules that allow for a healthy work-life balance. We encourage and support career development and there are always opportunities for you to learn and grow within the organization. We have a competitive compensation package and generous time off and benefits for eligible employees. You and your family can also enjoy discounts and offers through our Tickets at Work Program. CGRC is an eligible employer for the Public Service Loan Forgiveness Program. APPLY NOW TO JOIN OUR TEAM! Child Guidance Resource Centers is an Equal Opportunity Employer

Responsibilities

Compilation and timely submission of claims to Commercial Insurance plans, including pre-billing report review.
Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers, where applicable.
Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices.
Completes Commercial Insurance denial research and resubmissions as needed.
Monitoring and tracking Commercial Insurance batch A/R reports to determine and rectify reasons for outstanding claim balances.
Transferring client liability balances to secondary payer, where applicable.
Monitoring and tracking secondary payer batch A/R reports and collaborates with Managed Care Organization (MCO) Billing Coordinator II to determine and rectify reasons for outstanding claim balances.
Communicates with programs regarding outstanding client liability balances and works to identify and resolve outstanding items.
Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities.
Provides training and guidance to billing staff as lead team member.