Clinic Billing Coordinator

Job Title: Clinic Billing Coordinator

Location: Happiness House & CP Rochester – Hybrid Position

Pay Range: $22.00 - $25.00 per hour

Position Type and Expected Hours of Work: This is a Full Time, 12 Month position (37.5 hours per week). Days and hours of work are Monday through Friday during business hours. Evening work may be required as job duties demand.

Summary/Objective: The Clinic Billing Coordinator will train and lead the clinic billing staff for CP Rochester and Happiness House ensuring the billing process is effective and efficient.

Required Education and Experience:

1. Experienced medical biller with clinical billing experience in a hospital/facility setting, 5+ years of on the job experience.
2. Knowledge of Medicare and Medicaid billing
3. Certifications Preferred
4. Microsoft Word and Excel proficiency required, Great Plain, Sage100, Clinicient (WebPT), AthenaPractice experience preferred.

Competency Requirements:

1. Demonstrated ability to multi-task and problem-solve.
2. Communication proficiency.
3. Ethical practice.
4. Business Acumen.
5. Excellent organizational skills and attention to detail.

Responsibilities include:

1. Imparts agency philosophy of "Equal Opportunity, Independence and Realization of Individual Potential" to children, families, program staff and community resources.
2. Maintains confidentiality of information relating to individuals and their families in accordance with agency policy.
3. Daily interaction with Medicare, Medicaid and third-party insurances for Article 16 and Article 28 Outpatient Clinic Services, including Dental.
4. Submit and retrieve claims electronically, read and understand Third Party and Medicare EOB's and Medicaid remittances.
5. Resubmit claims, research denials, submit paper claims and appeals if necessary, post payments and co-pays and trouble shoot billing issues.
6. Preparation of patient statements.
7. Responsible for entering payments into the accounting program.
8. Maintains appropriate files, documents and reports regarding billing. Compile and track outstanding balances that are owed.
9. Prepare monthly clinic reconciliations for both CP and HH as well as preparing the year end reconciliation for the audit.
10. Prepare month end clinic revenue reporting for financial statements and submit to the Director/Associate Director of Finance.
11. Prepare and utilize reports from billing software for annual CFR and Medicaid Cost Reports, and any reports needed at the discretion of Supervisor or CFO.
12. Participates in Finance Department meetings.
13. Participates in conferences, workshops and in-service training as needed or recommended to enhance job skills and personal growth and development.
14. Adheres to agency's policies and procedures as well as department guidelines.

Other Duties: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Work Environment: This job operates in a professional office and preschool program environment. This role routinely uses standard office equipment.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit, stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must frequently lift and/or move objects up to 10 pounds and occasionally lift and/or move objects up to 30 pounds.

Travel: Travel is primarily local during the business day but employee will be expected to work at any of our partner agencies. Some out-of-the-area and overnight travel may be expected.

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, internal equity, and location.

EEO Statement: The agencies are equal opportunity employers. We do not discriminate against employees or applicants in the hiring, promotion, compensation, placement, termination, layoff, recall, transfer, leaves of absence or any other term or condition of employment on the basis of race, color, religion, sex, sexual orientation, gender orientation/identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran, domestic violence victim status, prior arrest and conviction records or any other protected category in accordance with applicable federal, state and local laws.