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Billing Coordinator

2 months ago

Grand Rapids, Minnesota, United States North Homes Inc. Full time
Job Overview

The Billing Coordinator plays a crucial role in managing all aspects of third-party insurance and Medical Assistance (MA) billing for eligible programs at North Homes, Inc. This position requires effective collaboration and problem-solving skills to ensure smooth operations.

Key Responsibilities

Insurance and MA Billing Management

  • Acquire a comprehensive understanding of North Homes, Inc., as well as HIPAA and MHCP billing policies.
  • Implement deadlines for staff to submit necessary documentation to optimize revenue flow.
  • Handle credentialing paperwork for various insurance providers to facilitate billing processes.
  • Maintain the billing system to guarantee accurate and timely processing of all insurance and MA claims.
  • Oversee agency contracts with insurance companies to ensure correct reimbursement for services rendered.
  • Prepare and submit county billings for In-Home and IJC contracts monthly.

Authorization and Patient Management

  • Consistently bill third-party insurance and MA for mental health services provided.
  • Communicate any challenges in information gathering or billing to the Compliance Director.
  • Generate monthly reports summarizing program billings, MHP billings, and accounts receivable.
  • Review accounts receivable with the Compliance Director as necessary.
  • Engage in meetings with agency and county personnel to provide updates and enhance revenue opportunities.

Administrative Duties

  • Complete re-credentialing documentation as required.
  • Process termination paperwork for departing therapists.
  • Submit applications to credential new therapists with insurance providers.
  • Follow up with insurance companies for additional information requests.

Reporting and Compliance

  • Ensure timely and accurate reporting of data for mental health billing as directed by the Billing Supervisor.
  • Verify insurance coverage for all mental health clients and obtain necessary approvals.
  • Address cases where clients claim insurance coverage but lack verification.
  • Send pending documentation requests to therapists and follow up monthly.
  • Contact clients or agencies to clarify reasons for ineligibility of insurance.
  • Prepare billing sheets for the new system ensuring insurance verifiability.

Coordination and Follow-Up

  • Develop efficient tracking methods for vital billing information.
  • Ensure appropriate submission of billing for services rendered.
  • Address insurance denials and refile claims as needed.
  • Conduct bi-monthly account reviews for overdue charges.
  • Issue reminder and final notice letters for outstanding client balances.
  • Initiate collections for clients with unpaid balances exceeding four months.
  • Send payment waiver agreements to clients with lapsed insurance.
Qualifications

Preferred candidates will have a minimum of two years of experience in mental health billing and administrative functions. A non-judgmental attitude towards clients' diverse backgrounds is essential. Candidates must be at least 21 years old and possess a valid Minnesota Driver's License.