Judson Center · 4 months ago
Billing and Benefits Coordinator
Warren, MI
Full-time
Onsite
Entry, Mid Level
2+ years expJudson Center is a community mental health organization, and they are seeking an Enrollment and Benefits Coordinator to manage client-facing benefit and enrollment processes. This role involves ensuring individuals have access to essential mental health services by navigating insurance and government assistance complexities.
AssociationCommunitiesNon Profit
Responsibilities
Verify patient insurance eligibility and benefits prior to services, ensuring accurate documentation in the system
Process insurance enrollments, updates, and authorizations to support timely and accurate billing
Communicate with patients to explain coverage, co-pays, deductibles, and out-of-pocket responsibilities
Remain current on mental health services, Medicaid, and other state and federal benefit programs, including specific product options like QMB and SLMB
Help clients, and sometimes their family members, complete and submit applications for Medicaid, Social Security Income (SSI), Social Security Disability Insurance (SSDI), or the Supplemental Nutrition Assistance Program (SNAP)
Provide support throughout the application process, including preparing appeals for denied benefits and following up with agencies like Social Security and Medicaid
Conduct meetings to educate clients on their insurance coverage, eligibility, and the options available to them for mental health and other community services
Gather, verify, and input clients' social, financial, and medical information into various applications and databases
Working with the Electronic Health Record (EHR) team to ensure accuracy and efficiency in billing and coding processes
Maintain accurate client benefits records, process enrollment changes and terminations, and track application statuses
Ensures claims are clean and free of errors prior to submitting to the billing department
Ensure benefits administration is compliant with federal and state regulations and prepare reports on Medicaid status and program efficacy
Audits medical record documentation to identify miscoded and under/up coded and training on accurate coding practices and compliance issues
Work closely with other identified clinical staff to ensure best clinical standards and coding is followed
Liaise between clients, families, providers, front office staff, and billing teams to resolve insurance-related issues
Submit and follow up on prior authorizations, referrals, and benefit inquiries with payers
Monitor payer portals and correspondence for updates, coverage changes, or denials
Educate patients about financial assistance programs or alternative payment options as needed
Ensure compliance with HIPAA and organizational policies in handling patient and payer information
Contribute to departmental goals of reducing denials, improving collections, and enhancing patient satisfaction
Completes all other assignments or duties as designated
Qualification
Required
High School diploma or equivalent (Associates or Bachelor's degree preferred.)
2+ years of experience in insurance verification, benefits coordination, or revenue cycle operations
Valid Michigan Driver's License and Vehicle Insurance
Knowledge of medical billing, insurance processes, and payer requirements
Strong communication and customer service skills
Proficiency in electronic health records (EHR) and insurance portal systems
Detail-oriented with strong organizational and problem-solving abilities
Ability to work independently and collaboratively in a fast-paced environment
Preferred
Certified Revenue Cycle Representative (CRCR) – Healthcare Financial Management Association (HFMA)
Certified Healthcare Access Associate (CHAA) – National Association of Healthcare Access Management (NAHAM)
Certified Patient Account Representative (CPAR) – State/Regional certification (where applicable)
Other healthcare administrative or billing-related certifications (CMAA, CPC) considered a plus
Company
Judson Center
Judson Center is a non-profit organization for therapeutic, behavioral, and supports services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lenora Hardy-Foster
President/CEO
Marn Myers
President & CEO
Recent News
Globe Newswire
2024-04-29
Crain's Detroit
2022-01-13
Company data provided by crunchbase