Billing Coordinator

Job Summary: Responsible for all aspects of Medicaid and commercial insurance billing, credentialing, and authorizations. Oversee all aspects of direct service invoicing. Ascendigo uses a third-party billing software platform, and this position serves as an administrative user. This role requires an understanding of direct service as well as third-party regulations to help staff navigate all billing issues.

Core Responsibilities:

· Lead user, responsible for staff training and knowledge of third-party platforms, including system set up and reporting, scheduling, case notes, billing approval, billing denials and corrections, authorizations, and credentialing.

· Conduct and/or oversee billing audits and operational reviews, generate reports, establish and maintain corrective action plans and follow-up to ensure timely resolution of identified compliance and/or 3rd party billing issues.

· Responsible for collaborating to reconcile monthly Accounts Receivable, insurance deductibles, and other associated third-party billing tasks, such as insurance management.

· Setup and maintain all staff credentialing requirements.

· Setup and maintain all medical authorizations.

· Oversee all medical invoicing, AR reconciliation and follow-up.

· Other finance & accounting duties as assigned.

Requirements:

· 3-5 years of third-party software platform experience, including set-up and maintenance of authorizations.

· 3-5 years of working knowledge of third-party billing, credentialing, and authorization compliance.

• Must be age 21 or over and have legal working status.
• Must maintain a valid driver’s license and excellent driving record.
• Must have a clean background check with no felonies or flags.
• Should have a bachelor’s degree or equivalent experience.
• Must have flexibility to travel for occasional professional development.
• Applicants are required to have and use their own smart phone for work duties. Ascendigo provides a monthly cell phone stipend for this use.
• Basic computer skills (MS Office, email, social media)
• Must be able to lift and move heavy objects (up to 25 pounds)

Personal Characteristics: should be committed and passionate about the Ascendigo mission of a holistic, active, community-based, independent, and person-centered life. He/she should believe in the dignity and potential of our clients. We also have a commitment to a culture of R.E.S.P.E.C.T. which stands for:

· R-Recognize the inherent worth of your coworkers.

· E- Eliminate derogatory words and phrases.

· S- Speak with people- not at them- or about them.

· P-Protect the culture of your organization- report and support!

· E- Empathize- consider what it is like in others’ situations.

· C-Consider your impact on others before speaking and apologize when you make a mistake.

· T- Treat everyone with integrity, dignity, and respect.