Medical Billing Coordinator I

Overview

Billing Coordinator I at Modivcare is responsible for ensuring timely and accurate payment for services rendered, managing accounts receivable, and engaging in effective communication with payers, clients, and other stakeholders.

Responsibilities

• Monitors and manages accounts receivable, ensuring the timely collection of payments for services provided.
• Reviews and analyzes outstanding accounts, identifying delinquent or unpaid invoices, and taking appropriate actions to resolve outstanding balances.
• Utilizes electronic billing systems and software to track and update payment information, maintain accurate billing records, and generate reports as needed.
• Collaborates with the billing team to ensure accurate and complete claim submissions, resolving any billing discrepancies or errors.
• Maintains updated records of insurance information, ensuring accuracy and completeness.
• Supports the Revenue Cycle Management team with all efforts related to Revenue Cycle and billing, collections, and Electronic Visit Verifications (EVV).
• Adapts to changes in work responsibilities as required with changing and shifting priorities and focus.
• Monitors rejections from portals to ensure billing reprocessing is identified timely, including EVV where necessary.
• Works as a liaison between the internal billing team, Central Operations and authorizations to correct errors and verify service.
• Provides system updates, weekly audits and data entry support to correct errors so that the completed visits are eligible for billing.
• Monitors AR related to service authorizations to ensure payment.
• Troubleshoots any problems, concerns, difficulties with the system and communicates to Supervisor or Manager.
• Follows SOX compliance within systems as outlined.
• Watches for potential fraud to reduce incorrect billing.
• Audits and validates all billing functions.
• Maintains and grows skillset in various tools utilized for billing.
• Responds to billing inquiries from clients, insurance companies, and other relevant parties, addressing concerns, providing explanations, and resolving disputes in a timely manner.
• Investigates and resolves billing discrepancies or claim denials, working closely with payers and the billing team to facilitate appropriate reimbursement.
• Maintains organized and accurate documentation of all collection activities, including communication logs, payment arrangements, and collections correspondence.
• Stays up to date with relevant insurance regulations, billing guidelines, and industry changes, ensuring compliance with all applicable laws and regulations.
• Adheres to privacy and confidentiality policies when handling sensitive financial and personal information.
• Establishes and maintains positive and professional relationships with clients, insurance companies, and other stakeholders involved in the payment process.
• Communicates with clients regarding their financial responsibilities, payment options, and any outstanding balances.
• Participate in other projects or duties as assigned.

Qualifications

Pay

$16.36 / hr - $20 / hr

Benefits

Modivcare is an Equal Opportunity Employer.

EEO is The Law - click here for more information

Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled

We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com

Note

Posting is for information purposes and may be removed at any time. This description does not guarantee employment and is subject to change.

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