The Transportation Billing Coordinator will maintain all day-to-day activities related to the coordination of the Transportation billing from approval tracking to revenue recognition. In addition, this position will track and oversee all of the Commercial Insurance billing using Excel and track all approvals, approval expiration dates, payments received, collections, and ensure compliance with third party payers and agency procedures. As with all Community Mental Health and Counseling Services staff, this position is also responsible for promoting a recovery oriented environment that reflects the needs of the individuals served, the staff providing services, and the mission of the organization.
QUALIFICATIONS: * High school diploma or G.E.D. is required. * Minimum of one year billing related experience in a community mental health office, hospital, or medical business office required. * Knowledge of Health Insurance Portability and Accountability Act, (HIPAA) requirements, record retention compliance, electronic claim submission, and remittance procedures. * Experience in managed care insurance billing required. * Excellent written and verbal communication skills. * Ability to adapt to new programs easily and troubleshoot software problems. * Proficient in Microsoft Office software, including Word, Excel, Outlook, and using the Internet. Intermediate skill level in Excel is required to design and maintain Excel spreadsheets. * Able to work independently, with minimal direction and oversight. Must be a self-starter and a problem solver wit h the ability to take initiative. * Ability to operate basic office equipment including multi-line phone, copy, and fax machines. * Must be well organized and detail-oriented. Ability to multitask and operate in a team environment. * Strong customer service and follow-up skills.
POSITION RESPONSIBILITIES: * Maintain current knowledge of Transportation related billing processes. * Monitor activity and claim errors and collaborate with team members to resolve identified billing errors timely. * Gather and organize all necessary data, including insurance verification documentation, and Notice of Changes (NOCs) to ensure accurate and timely submission of claims. * Enter pre-authorizations as provided by commercial payers for each consumer into Excel tracking spreadsheet and update as pre-authorizations expire and additional pre-authorizations are received. Monitor authorizations and inform relevant staff of pending and expired due dates. Send pre-authorization utilization report weekly. * Work as the Finance liaison with the CMHC and Transportation staff to ensure all required information is received and work with third parties when issues arise. * Follow up and investigate p ayer denials and resolve timely. * Review and maintain Accounts Receivable balances for each payer and resolve outstanding balances timely. * Serve as a backup for processing CMHC petty cash, including distribution of funds, proper documentation, and the reconciliation and replenishment of funds, as needed. * Assist Billing Coordinator with cash application and authorization verification.