Child Guidance Resource Centers · 1 month ago
Billing Coordinator II
Havertown, PA
Full-time
Hybrid
Mid LevelChild Guidance Resource Centers is a premier behavioral health provider that embraces employees as partners in the organization's strategic plan. The Billing Coordinator II will assist the Revenue Cycle Manager with claims resolution, denial management, and various billing responsibilities, ensuring accurate and timely processing of insurance claims and payments.
Child CareHealth CareNon Profit
Responsibilities
Compilation and timely submission of claims to Commercial Insurance plans, including pre-billing report review
Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers, where applicable
Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices
Completes Commercial Insurance denial research and resubmissions as needed
Monitoring and tracking Commercial Insurance batch A/R reports to determine and rectify reasons for outstanding claim balances
Transferring client liability balances to secondary payer, where applicable
Monitoring and tracking secondary payer batch A/R reports and collaborates with Managed Care Organization (MCO) Billing Coordinator II to determine and rectify reasons for outstanding claim balances
Communicates with programs regarding outstanding client liability balances and works to identify and resolve outstanding items
Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities
Provides training and guidance to billing staff as lead team member
Qualification
Required
Assists the Revenue Cycle Manager with claims resolution and denial management
Processes private and public insurance authorization and benefits
Research and resubmission of rejected claims
Maintenance of excel worksheets related to cash receipts
Performing liaison services with payers and various other billing responsibilities
Compilation and timely submission of claims to Commercial Insurance plans
Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers
Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices
Completes Commercial Insurance denial research and resubmissions as needed
Monitoring and tracking Commercial Insurance batch A/R reports
Transferring client liability balances to secondary payer, where applicable
Monitoring and tracking secondary payer batch A/R reports
Communicates with programs regarding outstanding client liability balances
Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities
Provides training and guidance to billing staff as lead team member
Benefits
Flexible work schedules
Career development
Generous time off and benefits
Discounts and offers through our Tickets at Work Program
Public Service Loan Forgiveness Program
Company
Child Guidance Resource Centers
Child Guidance Resource Centers is a nonprofit organization that offers child behavioral and health care services.
Founded in 1956
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$0.25MKey Investors
The Pew Charitable Trusts
2023-07-13Grant· $0.25M
Leadership Team
Lisa Roberts Cadorette, BSN, RN, MSEd
Interim Chief Executive Officer
Andrew Kind-Rubin
Chief Clinical Officer and Vice President
Recent News
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