Outpatient Billing Coordinator (Part Time - Billing Coordinator)

Restore Therapy Services•Pelham, AL

9d•Onsite

About The Position

This position assists in the planning, organization, and development of the Restore Therapy Services Outpatient practice. The role involves coordinating, reviewing, and conducting all outpatient billing, ensuring timely and accurate reporting of required documentation, regulatory requirements, insurance requirements, patient information, and billing. It also includes insurance verification for outpatient patients, ensuring efficiency in department deadlines while maintaining a high level of accuracy within the billing system. The coordinator will document monthly data and statistics for leadership, process end-of-month billing, perform audits, and prepare/organize billing reports. This role acts as an insurance liaison between patients, responsible parties, therapists, and insurance companies. Additionally, it coordinates all outpatient information, including new patient letters, tracking logs, documentation requirements, and patient information. The position oversees all communication regarding payment for outpatient services, including communication with families, administration, responsible parties, patients, and sponsors for any balances owed or not covered by insurance. Specific duties include Blue Cross Blue Shield Administration, Blue Cross Blue Shield Credentialing, NPI Credentialing, outpatient claim status administration, and outpatient collections. The role coordinates and oversees outpatient intake, including referrals and physician orders, and acts as a physician liaison. It also involves quality assurance reviews, technical audits, and medical record audits. Management of the Medicare FISS system, including daily updates and downloads, is a key responsibility, as is providing outpatient customer service. The coordinator will assist with new implementations of processes and programs for the outpatient practice, provide class registration and communication support for wellness programs, and handle trending for the outpatient practice and reporting for the Board of Directors and state guidelines. Follow-up on referrals and residents identified from a corporate level, and mailing marketing supplies as needed from Corporate to management/marketers are also part of the duties. The role ensures outpatient billing adheres to the Company Code of Ethics and Compliance policy expectations, and reports revenue analysis monthly. Assistance with Outpatient coverage when a Director of Operations needs support, and outpatient support for Directors of Operations are expected. Skilled Nursing and contract billing support may be required as needed. The ability to work independently and collaboratively with other billing team members, demonstrating individual initiative and problem-solving skills, is essential.

Requirements

High school diploma or equivalent.
Completion of post-secondary education.
Able to read, write and follow oral and written directions.
Able to relate positively and professionally and work cooperatively with co-workers and vendors.
Capable of maintaining regular attendance.
Strong organizational and time management skills.
Able to demonstrate and maintain flexibility.
Excellent interpersonal and communication skills, both written and oral.
Proficient in Windows and Microsoft Office, including, Outlook, Word, Excel and PowerPoint.
At least two (2) years’ experience in a customer service and/or support role.
At least (2) years’ experience in a data entry and or computer related role.
Capable of performing the Essential Job Functions of this position with or without accommodation.

Nice To Haves

Experience with Medicare billing.

Responsibilities

Coordinate, review/audit and conduct all Outpatient billing.
Ensure timely and accurate reporting of all required documentation, regulatory requirements, insurance requirements, patient information and billing.
Insurance verification for Outpatient patients.
Ensure efficiency in department deadlines, while maintain and high level of accuracy within the billing system.
Document monthly data and statistics for leadership.
Process end of the month billing.
Perform audits.
Prepare and organize billing reports.
Insurance liaison between patient, responsible parties, therapist and insurance companies.
Coordinate all Outpatient information including new patient letters, tracking logs, documentation requirements and patient information.
Oversee all communication regarding payment for outpatient services for the patient.
Blue Cross Blue Shield Administration.
Blue Cross Blue Shield Credentialing.
NPI Credentialing.
Outpatient claim status administrator.
Outpatient collections.
Coordinate and oversee outpatient intake, including referrals and physician orders.
Physician liaison.
Quality assurance reviews, technical audits and medical record audits.
Management of the Medicare FISS system and daily updates and downloads.
Outpatient customer service.
Assist with new implementations of processes and programs for the outpatient practice.
Class registration and communication support for wellness programs.
Trending for our outpatient practice and reporting for Board of Directors and state guidelines.
Follow up on referrals and residents identified from a corporate level.
Mail out marketing supplies as needed from Corporate to management/marketers.
Ensure that the outpatient billing adheres to the Company Code of Ethics and that the Compliance policy expectations are adhered to consistently.
Report revenue analysis monthly.
Help coordinate Outpatient coverage when a Director of Operations needs assistance.
Outpatient support for Directors of Operations.
Skilled Nursing and contract billing support as needed.
Ability to work independently and collaboratively with other Billing team members.
Demonstrate individual initiative and problem solving skills.
Adheres to all of the Company’s policies and procedures.
Performs other duties as assigned.