Billing Coordinator

As a home care agency, Able Health Care Service is dedicated in providing top quality care to all of our clients. Currently, we are looking for individuals who are compassionate and caring to be apart of our team. Join us for a rewarding career in Health Care.

Here follows information about the position:

 

Job Title: Billing Coordinator
Department: Finance/Billing
Reports To: Controller
Position Summary
The Billing Coordinator is responsible for managing and processing billing activities for home health care services, including Medicaid, private pay, and cost-share programs. This role ensures accuracy, compliance, and timely invoicing while maintaining detailed records and collaborating with clinical and administrative teams.
Key Responsibilities
General Billing Duties

• Perform bi-monthly eligibility checks on HHAx.
• Review State Aggregation reports, identify errors, and correct discrepancies.
• Generate and review unprinted invoice reports.
• Verify accuracy of new patient entries, including policy numbers, Medicaid numbers, DOB, and ensure primary diagnosis is added to profiles for billing purposes.
• Run Able Home invoicing by end of business each Wednesday.
• Review billing after third party Billing has invoiced; resolve rejects and notify appropriate parties.
• Enter billing diagnoses in authorization sections for new and renewed authorizations; coordinate with clinical staff as needed.

Weekly Tasks

• Conduct pre-billing reviews to monitor timely filing limits, especially for critical contracts (Empire, Fidelis Care, Royal Care, Girling, Metro Jewish).
• Validate that services are provided as authorized for each billing week.
• Ensure branch and location fields are populated for all new patient entries.
• Update and maintain contract information and rates on shared drives and wage parity spreadsheets.

Private Pay Billing

• Run Private Pay invoicing by end of business each Wednesday.
• Process special billing circumstances (e.g., Genworth claims, ACH debits, mailed invoices).
• Post Private Pay transactions and maintain daily deposit logs.
• Process credit card payments and distribute receipts via mail or email.
• Log and scan remittances to shared drive; alert third party billing Billing of new remits.
• Track manual PA services billed outside standard systems.

EISEP Cost Share Billing

• Create monthly cost share invoices based on individual percentages after third party Billing merges data.
• Forward and store new and renewed contracts as needed.
• Update wage parity spreadsheets and maintain accurate billing records.

Qualifications

• Education: High school diploma or equivalent; Associate degree in Accounting or Business preferred.
• Experience: Minimum 2 years in medical billing or healthcare finance.

Skills:

• Strong attention to detail and accuracy.
• Proficiency in billing software (HHAx) and Microsoft Excel.
• Knowledge of Medicaid, private pay, and cost-share billing processes.
• Ability to meet deadlines and manage multiple priorities.

Core Competencies

• Analytical and problem-solving skills.
• Effective communication and collaboration with clinical and administrative teams.
• Confidentiality and compliance with HIPAA regulations.

Compensation & Benefits:
• Salary: $50,000–$70,000
• Paid Time Off, Sick Leave, Holidays
• Medical, Dental, Vision Insurance
• 401(k) Retirement Plan
• Voluntary benefits (life insurance, short-term disability)

Equal Opportunity Statement
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law