Coordinator, EMR and Medical Billing

Overview:

Job Summary:

Key Responsibilities:

• Organize and Maintain EHR Records: Ensure all client insurance information is accurately entered, updated, and managed within the EHR system, including maintaining and updating the EHR billing matrix.
• Process and Submit: Daily billing, insurance claims, client invoices, and insurance authorizations, ensuring accuracy, completeness, and compliance with payer requirements.
• Train and Support: Train Administrative Coordinators and Intake Specialists on proper use of the Insurance Eligibility Verification system and provide support to ensure eligibility checks are completed accurately and in compliance with billing requirements.
• Process and Submit: Daily billing, insurance claims, client invoices, and insurance authorizations, ensuring accuracy, completeness, and compliance with payer requirements. Determine and manage Single County Insurance requests and payments.
• Accounts Receivable Collaboration: Work with the Fiscal Manager on accounts receivable processes and support strategies to reduce aging balances.
• Resolve Billing Discrepancies: Investigate and resolve billing discrepancies while providing clear, timely responses to client and provider inquiries.
• Collaborate Across Departments: Work with finance, Director of Data and Analytics, clinical, and administrative teams to streamline billing-related processes.
• Prepare Performance Reports: Generate reports on collection performance, denial trends, and reimbursement metrics to inform financial decision-making.
• Compliance with Healthcare Regulations: Follow HIPAA and other regulatory requirements to ensure the protection of client information, confidentiality, and privacy.
• Other duties as assigned.

Minimum Qualifications:

• Bachelor's degree in healthcare or business administration preferred and/or equivalent 5 years relevant work experience.
• Minimum of 5 years patient account experience required.
• Proficient with Microsoft Office 365, including Word, Excel and Outlook. Proficiency with EMR systems.
• Act 34, Act 33, and Act 73 clearances required 

Competencies and Skills:

• Ability to coordinate projects to meet the needs of users and establish priorities, make decisions and follow issues through resolution.
• Excellent client service skills.
• Excellent written and verbal communication skills.
• Knowledge of basic patient accounting principles.
• Familiarity with automated patient billing systems, medical terminology and coding.
• In-depth knowledge of electronic data interchange and claims processing, third party payer rules, reimbursement practices and regulatory guidelines.

Working Conditions:

• Full-time position.
• Sedentary office role
• Hybrid position with a 2 -3 days on campus.  Subject to change according to business demands.