BILLING COORDINATOR

Apis Services Inc • New Orleans, LA

1d

About The Position

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.

Requirements

• High school diploma or equivalent. (GED)
• Knowledge of MCO billing/collection practices.
• Minimum two (2) to four (4) years related experience
• 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.

Nice To Haves

• Associates degree preferred.

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

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 101-250 employees