Adelphoi ยท 2 days ago
Billing Coordinator
Adelphoi is a company dedicated to delivering residential, community, and educational support services to youth in need. The Billing Coordinator is responsible for coordinating and processing billing activities to ensure accurate, timely, and compliant submission of claims and invoices, while collaborating with various teams to resolve discrepancies and maintain compliance.
Non-profit Organization Management
Responsibilities
Prepare, review, and submit billing claims and invoices to insurance carriers, counties, and other funding sources
Ensure billing accuracy and compliance with contract terms, payer requirements, and regulatory guidelines
Monitor claim status, follow up on unpaid or denied claims, and initiate corrections or resubmissions as needed
Research and resolve billing discrepancies, underpayments, and payment variances
Coordinate with clinical and program staff to verify service documentation and billing eligibility
Maintain billing schedules, tracking logs, and supporting documentation
Respond to internal and external inquiries related to billing and payment status
Support audits, payer reviews, and program integrity activities by providing requested billing documentation
Maintain confidentiality and comply with HIPAA and organizational policies
Provide back-up assistance to the authorization coordinator
Qualification
Required
Diploma/Degree in Billing functions such as Medical Coding or a minimum of three (3) years of billing experience preferably in a behavioral health setting
Requires FBI, Act 33 and Act 34 clearances (agency assistance provided)
PA Driver's License
Benefits
Flexible schedule
Paid time off starting the first day of employment
Paid holidays
Excellent medical, dental, and vision insurance at a reasonable cost to the employee 403(b) employer match
Student Loan Forgiveness
Tuition reimbursement