Billing & Insurance Coordinator

Socket.dev; Waterbury (CT); On-site; USD 52,000 - 65,000; Full time

Job summary

Easterseals is seeking a Billing Coordinator to ensure proper billing for private pay, Medicare and Medicaid, and other insurers. The role involves pursuing collections, ensuring accurate claim submission, and maintaining compliance across billing processes.

Under the supervision of the Finance Office Manager, you will handle documentation, follow-up on delinquent accounts, and maintain current knowledge of insurance contracts while supporting front desk staff with authorizations and eligibility

Qualifications

• Knowledge of office procedures and computer skills.
• Excellent communication and customer service skills.
• Familiarity with Microsoft Word & Excel.
• Computer and billing software.
• This position may be authorized to have access to protected Health Information (PHI) to perform specific job duties.

Responsibilities

• Prepares and submits medical claims electronically or by hard copy billing.
• Secures necessary medical documentation required by insurance.
• Keeps updated on billing requirements and communicates changes to personnel.
• Works with front desk staff to obtain prior authorizations and verify insurance.

Skills

Office procedures

Communication

Microsoft Word

Excel

Billing software

PHI access

Education

High school diploma or equivalent

Associates degree in Accounting

Tools

Billing software

Microsoft Word

Excel

Job description

POSITION SUMMARY/PURPOSE

Under the supervision of the Finance Office Manager, the Billing Coordinator is responsible for ensuring proper billings of private pay, Medicare and Medicaid, Workers Compensation, and commercial insurance companies for all medical services. This position will be responsible to pursue collection of all claims until payment is made, and performs other work as assigned associated with the billing/collection/compliance processes.

ESSENTIAL FUNCTIONS

• Prepares and submits medical claims electronically or by hard copy billing.
• Secures necessary medical documentation required, or requested, by (3rd party) insurance.
• Works with therapists to ensure that the correct procedures are reported toinsurancecarriers.
• Posts all Med Rehab payments electronically or manually.
• Reviews and follows up on all delinquent accounts to ensure that Med Rehab is reimbursed for all services.
• Keeps updated on all billing requirements and changes for insurance types and communicates changes to necessary personnel.
• Works with front desk staff securing new and continued prior authorizations.
• Works with front desk staff to verify private insurance for new patients and benefit eligibility.
• Works with front desk staff to ensure all cash control procedures are followed.
• Prepares and reviews all monthly closing reports/analysis as required.
• Maintains updated knowledge of all insurance contracts
• Credentials new providers
• Perform other related duties as required.
• Displays and upholds Easterseals core values of collaboration, respect, caring, excellence and accountability. Consistently demonstrates caring for the community we serve, for one another, and for the organization they are part of, and contributes to building trust, pride and camaraderie.

JOB KNOWLEDGE, SKILL REQUIREMENTS, AND DESIRED ATTRIBUTES:

• Knowledge of office procedures and computer skills.
• Excellent communication and customer service skills.
• Familiarity with Microsoft Word & Excel.
• Computer and billing software.
• Telephone, copier, printers, fax machines etc.
• This position may be authorized to have access to protected Health Information (PHI) to perform specific job duties.

EDUCATION

• High school diploma or equivalent, Associates Degree in Accounting strongly preferred.

EXPERIENCE

Strong insurance billing and medical terminology/experience required. Knowledge and experience in outpatient rehabilitation (PT/OT/Speech) billing is desired, but not required.

Easterseals is an Affir...

Easterseals does not offer sponsorship for applicants of work visa.