Catholic Health Services · 20 hours ago
BILLING COORDINATOR
Lauderdale Lakes,FL,US
Full-time
Onsite
Senior Level
5+ years expCatholic Health Services is seeking a Billing Coordinator to manage all billing and collection functions related to Medicare, Medicaid, and private pay accounts. The role involves performing pre-billing audits, ensuring timely submission of claims, and coordinating with various departments to resolve billing issues.
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Responsibilities
Researches and analyzes accounts prior to releasing claims for Billing. examines historical data, evaluates past collection efforts
Access multiple databases for obtaining account status or entering data on assigned accounts; verifies accuracy before and after entry
Determines most effective and economical means of collection for each account; applies standard due diligence practices to collect monies owed; composes correspondence requiring knowledge of procedures and practices in collections and also sends a variety of standard collection letters
Coordinates with Admissions, Patient Care and Social Services Departments on Medicare, Medicaid, private insurance, HMO and self-pay patients to obtain pre-billing information and approvals, to collect documentation and update billing files
Provides financial counseling to discuss and resolve the debt situation; restructures or revises payment terms within well-established limits and procedures; recommends hardship or other deferments when appropriate to supervisor
Applies payments received to proper accounts, keeping accurate accounting records of each transaction; reconciles records with computer reports, makes necessary adjustments or corrections
Assists Reimbursement Manager with Medicaid application by compiling necessary documentation and attending the designated appointments with the Department of Children and Families
Maintains billing files with up-to-date supporting documentation in compliance with insurer requirements
Maintains files (electronic and/or hard copy) on all past due accounts, documenting details of methods utilized to secure payment
Compiles information and prepares a variety of reports on collection activities for supervisor, such as outstanding accounts and their current standing
Generates reports related to billing from the EMR software program as required
Serves as a back up to Reimbursement Coordinator
Must employ independent judgment to determine or ensure most efficient and cost-effective approach to account resolutions
Must possess general and detailed knowledge-base of insurance related collection strategies and be assertive when faced with claims related rejections
Experienced in proper appeals related procedures for both governmental and private insurance companies
Must be able to leverage efficiencies by establishing priorities and insuring seamless process compliance
Handle sensitive information and maintain confidentiality
Manage multiple projects simultaneously and meet hard deadlines
Adapt to change/new processes as necessary for continuous process improvement
Work product must be accurate and is subject to random and frequent auditing - internal, external and self
Must be able to express creativity with problem resolution, while maintaining an open-mind to new ideas
Work collaboratively with Admissions, Community Relations, and Interdisciplinary Team Managers and members to develop and integrate process improvement
Continual and proactive knowledge seeker to insure most accurate and up-to-date policies and practices both within the organization and related legislative rulings
Ability and willingness to work a flexible Full-Time schedule that may include weekends and Holidays
Maintain your required licenses, certifications and mandatory skill updates
Comply with all policies, local, state and federal laws and regulations
Provide other duties of healthcare team member
Perform other duties as assigned
Qualification
Required
Minimum of 5 years' experience in Keep up to date in billing requirements changes per CMS regulations and per insurance contracts and agreements and collections in an institutional health care organization with knowledge of 3rd party payer system
Must have knowledge of computer office/clinical software
Must be able to read, write and understand the English language
Preferred
Advanced degree, certificate or relevant experience in Finance, or Accounting preferred
Experience in Medicare, Medicaid and other third-party billing preferred
Knowledge of Medicare billing regulations and eligibility preferred
Experience with Medicare DDE, eServices and Availity to determine clients coverage, benefits and eligibility
Company
Catholic Health Services
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Founded in 1998Fort Lauderdale, Florida, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Arnaldo Rodriguez Yumet
Vice President Human Resources & Corporate Compliance Officer
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