Outpatient Billing Coordinator (Full-time) - Restore Corporate Office

  • Pelham, AL
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Summary

GENERAL PURPOSE:
 
To assist in the planning, organization and development of the Restore Therapy Services Outpatient practice.
 
QUALIFICATIONS:
 
  • Must have high school diploma or equivalent.
  • Completion of post-secondary education and able to read, write and follow oral and written directions.
  • Must be able to relate positively and professionally and work cooperatively with co-workers and vendors.
  • Must be capable of maintaining regular attendance.
  • Strong organizational and time management skills.
  • Must be able to demonstrate and maintain flexibility.
  • Excellent interpersonal and communication skills, both written and oral.
  • Proficient in Windows and Microsoft Office, including, Outlook, Word, Excel and PowerPoint
  • Must have at least two (2) years’ experience in a customer service and/or support role.
  • Must have at least (2) years’ experience in a data entry and or computer related role.
  • Experience with Medicare billing, preferred.
  • Must be capable of performing the Essential Job Functions of this position with or without accommodation.
 
ESSENTIAL JOB FUNCTIOINS:
  • Coordinate, review/audit and conduct all Outpatient billing.
  • Ensure timely and accurate reporting of all required documentation, regulatory requirements, insurance requirements, patient information and billing
  • Insurance verification for Outpatient patients.
  • Ensure efficiency in department deadlines, while maintain and high level of accuracy within the billing system.
  • Document monthly data and statistics for leadership.
  • Process end of the month billing
  • Perform audits
  • Prepare and organize billing reports
  • Insurance liaison between patient, responsible parties, therapist and insurance companies.
  • Coordinate all Outpatient information including new patient letters, tracking logs, documentation requirements and patient information.
  • Will oversee all communication regarding payment for outpatient services for the patient. Including communication with families, administration, responsible party, patients and sponsor for any balances owed or not covered by insurance company.
  • Blue Cross Blue Shield Administration
  • Blue Cross Blue Shield Credentialing
  • NPI Credentialing
  • Outpatient claim status administrator
  • Outpatient collections
  • Will coordinate and oversee outpatient intake, including referrals and physician orders.
  • Physician liaison
  • Quality assurance reviews, technical audits and medical record audits.
  • Management of the Medicare FISS system and daily updates and downloads.
  • Outpatient customer service.
  • Will be assisting with new implementations of processes and programs for the outpatient practice.
  • Class registration and communication support for wellness programs.
  • Trending for our outpatient practice and reporting for Board of Directors and state guidelines.
  • Follow up on referrals and residents identified from a corporate level.
  • Mail out marketing supplies as needed from Corporate to management/marketers.
  • Will help ensure that the outpatient billing adheres to the Company Code of Ethics and that the Compliance policy expectations are adhered to consistently.
  • Will report revenue analysis monthly.
  • Help coordinate Outpatient coverage when a Director of Operations needs assistance.
  • Outpatient support for Directors of Operations.
  • Skilled Nursing and contract billing support as needed.
  • Ability to work independently and collaboratively with other Billing team members.
  • Must demonstrate individual initiative and problem solving skills
 
OTHER JOB FUNCTIONS:
 
Duties:
  • Adheres to all of the Company’s policies and procedures.
  • Performs other duties as assigned.
 
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job.  The incumbents may be requested to perform job-related tasks other than those stated in this description.
 
Physical and Sensory Requirement (With or Without the Aid of Mechanical Devices).  Walking, reaching, climbing, bending, lifting, grasping, fine hand coordination, pushing and pulling, ability to read and write, ability to communicate with personnel and outside agencies, Ability to remain calm under stress.
 
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Job Information

Restore Corporate
Billing
Full Time
Professional
Req #: 3230-2051

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