Medical Billing/Revenue Assistant

Organization: 
Urban Affairs Coalition
Division / Program: 
One Day At A Time (ODAAT)
Position Details
Position Summary: 

The Assistant specifically will ensure proper claim submission, troubleshoot claim rejections, respond to information requests, and produce timely billing statements and aged receivable reports. As part of the Fiscal Team, the candidate will support accounts payable and receivable, office administration, and executive assistance in coordination and cooperation with the Executive team and other team members to produce high quality work that is timely and efficient.

Key Duties & Responsibilities: 
  • Abstracts clinical information, interprets and codes from office notes, client files and operative/bed count reports. Assigns CPT and ICD-10 codes and modifiers to support clinicians’ and organizational fees in order to obtain reimbursement from insurance companies and government healthcare programs
  • Accurately enters client demographics, insurance information, diagnosis and treatment codes and modifiers, referrals and authorizations
  • Ensures claim information is complete, submitting charges daily basis to clearinghouse or individual insurance companies electronically or via MHX
  • Creates Aged Receivable reports to monitor unpaid claims
  • Follows HIPAA guidelines in handling client information; Maintain strict confidentiality
  • Respond accurately and timely to Billing Coordinator and supervisor questions regarding client billing invoicing and adjustments while ensuring compliance
  • Audit all client billing portals, vendors, invoices and statements monthly for proper vendor billing reconciliation as assigned
  • Prepare periodic fiscal reports on program activities, progress, status or other special reports for management as directed
  • Supports daily fiscal and billing operations and coordinates activities as assigned
  • Maintains accurate documentation for all client billing contracts and fiscal-related correspondence as related to client billables as assigned
  • Sends out billing statements on a bi-weekly basis; ascertains client bills and unpaid charges and establishes deadlines for payment
  • Follows up and resolves unpaid claims (denials, rejections, appeals, COB issues, etc.)
  • Posts insurance and client bill payments from Insurance and Guarantor timely; produce revenue cycle reports weekly
  • Respond to information requests from governmental agencies or insurance carriers in a timely manner
  • Answer calls and work with internal departments regarding billing matters
Education, Knowledge, Skills & Abilities: 
  • Associate degree required; Bachelor’s degree strongly (preferred)
  • 1 year of medical billing experience (required)
  • Experience with bookkeeping (preferred)
  • Excellent verbal and written communication skills
  • Knowledge of billing systems preferred, but not required (QuickBooks, EZClaim, CareWare, InSync, and Microix)
  • Occasional flexible work schedule including evenings and weekend
  • Able to work remotely as needed
  • Proficiency in Microsoft Word and Excel
  • Exceptional attention to detail and organizational skills
  • High level of reliability and work ethic
  • Ability to work independently, with minimum supervision
  • Excellent time management
  • High level of initiative
  • Able to work with all cultures with sensitivity
  • Impeccable integrity and team player
  • Develops and maintains positive, professional relationships with vendors, staff, volunteers, and others
  • Bilingual a plus.
More Details: 

LICENSES AND CERTIFICATIONS

  • Valid Pennsylvania driver’s license preferred

PHYSICAL REQUIREMENTS

  • Able to lift/move weight up to 50lbs.
  • Vision adequate to perform the responsibilities and functions of the job efficiently
  • Must be able to sit for 3 or more hours per day

WORK ENVIRONMENT

The employee will work in an office and public, service-delivery environment. Hectic situations can occur in the public area of the facility characteristic to working with the homeless community and the related concerns and situations related to homeless conditions. The requirements liste in this document are the minimum levels of knowledge, skills, or abilities.

Contact Info
Contact Info: 
Forward cover letter and resume to ODAATCareers@gmail.com with "Medical Billing/Revenue Assistant" in the subject line.