Billing Coordinator

National Psychiatric Care and Rehabilitation Services•San Jose, CA

3d•Onsite

About The Position

The Billing Coordinator is a non-exempt employee of National Psychiatric Care and Rehabilitation Services (NPCRS), which is the sole employer, payroll entity, timekeeping authority, and Human Resources authority for the position. The role performs healthcare revenue-cycle and authorized administrative support for NPCRS and may support Fair Oaks, Virosa, and other NPCRS-approved affiliated or commonly owned entities. The position works from a shared office and may support multiple facilities, legal entities, tax identification numbers, payer contracts, bank accounts, and operating teams. At Level III, the employee independently manages full-cycle billing for three or more companies or legal entities. The role may also perform NPCRS-authorized office, executive-administrative, courier, errand, and light office-support assignments for designated owners or executives. Assignments must be lawful and safe, accurately recorded as time worked, appropriately prioritized, and performed within written authority and applicable entity-separation, privacy, security, expense-reimbursement, vehicle-use, and supervisory controls. The Billing Coordinator applies current California and federal healthcare billing requirements, payer contracts, company policy, and applicable wage-and-hour requirements. The position does not make clinical determinations, independently establish medical necessity, alter clinical documentation to obtain payment, perform unlicensed patient-care functions, or agree to work off the clock.

Requirements

High school diploma or equivalent.
Five years of healthcare billing, behavioral-health billing, medical accounts receivable, payer authorization, or closely related revenue-cycle experience; equivalent combinations of education and directly relevant experience may be considered.
Demonstrated full-cycle billing experience, including eligibility and benefits, authorization tracking, claim submission, payment posting, denial follow-up, appeals, aging, refunds, patient billing, and collections.
Working knowledge of commercial and managed-care billing and ability to learn county, Medi-Cal, and other governmental billing requirements applicable to company operations.
Proficiency with electronic health records, payer portals, clearinghouses, spreadsheets, Microsoft Office, and secure document repositories.
Ability to analyze remittance information, contracts, fee schedules, aging reports, claim edits, and account activity with exceptional attention to detail.
Clear written and verbal communication, sound judgment, professionalism, discretion, and ability to manage confidential behavioral-health information.

Responsibilities

Manage full-cycle billing independently for three or more companies or legal entities at the Level III assignment.
Perform eligibility, benefits, authorizations, and financial-clearance work.
Maintain claim, invoice, and coding integrity.
Post payments and reconcile accounts and credit balances.
Follow up on denials and appeals and manage accounts receivable.
Handle patient billing, customer service, and collections.
Follow compliance, privacy, and program-integrity requirements.
Maintain systems, records, and reporting.
Participate in training, collaboration, and continuous improvement.
Perform NPCRS-assigned shared-office and executive-administrative support as authorized.
Perform authorized errands and local travel while following expense, vehicle-use, timekeeping, and safety requirements.
Accurately record all time worked and operate within written authority, entity-separation, privacy, security, and supervisory controls.
Apply current California and federal healthcare billing requirements, payer contracts, and company policy; do not make clinical determinations, independently establish medical necessity, alter clinical documentation to obtain payment, perform unlicensed patient-care functions, or work off the clock.