Bay Cove Human Services · 4 hours ago
Billing Coordinator
Bay Cove Human Services is dedicated to partnering with individuals facing various challenges through compassionate services. The Billing Coordinator plays a crucial role in ensuring timely and efficient authorization and payment for services, maximizing revenue, and supporting the overall fiscal viability of the organization.
ConsultingHealth CareHome Health CareNon Profit
Responsibilities
Work effectively with colleagues to obtain the information necessary to verify insurance information, obtain authorizations or extensions, and solve issues in a timely manner
Provide professional and courteous customer service at all times and adhere to regulations around confidentiality while serving as the liaison between Addiction and Homeless Services, the billing department, third-party payers, and vendors
Accurately enter data into required electronic systems (Virtual Gateway EIM/ESM, Electronic Record, third party payer system) in accordance with established timelines
Verify client/patient insurance and review authorizations daily in order to avoid loss of coverage or lapse in authorization, with the goal of maximizing revenue
Assist the Senior Billing Coordinator with claims and denials as needed
Research and resolve any errors and maintain meticulous records of follow up activities
Respond to records requests and inquiries from insurance companies, patients/clients, and collateral providers in accordance with Bay Cove’s Privacy Policy and regulatory guidance
Identify patterns of billing errors, inaccurate payments, posting errors, and communicate any needed system changes to direct supervisor
Complete all required training related to responsibilities and flexibly adjust to changes in billing procedures, practices, and requirements
Collect invoices for program operations, prepare check requests and submit for approval, track invoice status and collaborate with supervisor, vendors, and the Accounting Department regarding identified problems
Performs other job-related duties as assigned
Qualification
Required
High school diploma or equivalent required
One (1) year experience of behavioral health billing or any equivalent combination of experience, training and/or education preferred
Intermediate knowledge of A/R systems, computerized billing, electronic data systems, and electronic health records
Demonstrated ability to maintain confidentiality, exercise sound judgment, and remain calm under pressure
Demonstrated knowledge of insurance, eligibility, and benefits via Medicaid, Managed Care Medicaid, and Third party payers, including ICD-10 codes
Demonstrated communication, interpersonal, and organizational skills
Intermediate proficiency in word processing and other computer functions using Windows, Word, and Google Email and Apps
Demonstrated proficiency with utilizing computers and related software (i.e. Microsoft Office, Google, internet applications etc.)
Company
Bay Cove Human Services
Bay Cove Human Services is an organization that treats mental illness, developmental disabilities, and substance use disorders.
Funding
Current Stage
Late StageLeadership Team
Recent News
2025-03-04
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