Job Information
Cooperative Counseling Services (CCS) Billing Administrator in Mountainside, New Jersey
Mountainside, NJ, Mountainside, NJ, US
Summary:
Responsible for ensuring that all billing and accounts receivable functions are executed effectively, efficiently and error free for all agency programs.
Essential Duties and Responsibilities:
Responsible for accurately entering charges; generating claims; submitting claims electronically or via paper claim weekly to ensure efficient cash flow; identifying and resolving billing errors; ensuring compliance with payor requirements; resolving patient billing questions; correcting data entry; and coding errors.
Reconciles invoice issues by following up with independent contractors, staff, and/or referring agencies when required.
Bills payor weekly either electronically or by hard copy, via billing software or paper copy, to ensure efficient cash flow.
Performs daily/weekly uploads to ensure timely payment of claims.
Executes downloads to ensure weekly claim processing is recorded accurately in the agency’s billing system.
Reconciles and posts Automated Clearing House (ACH) payments issued by the state against open charges in the agency’s billing system.
Reconciles and posts self-pay payments (copays/no-show payments/fees for services) against open charges in the agency’s billing system.
Manages account receivables from payors, as applicable, by generating and analyzing accounts receivable reports, reporting problem areas to the Finance Manager and documenting receipts.
Analyzes rejection and denial trends to identify processing and system issues and present to Manager for direction if unable to identify a solution.
Produces weekly financial reports representing all receivables by payor and lists all services held from submission to the payors due to invalid/missing information. Financial reports include all prior denied claims with their disposition. Produces other reports as needed.
Upon claim denial, researches reason for denial and resubmits claim during the same week.
Assists with development, implementation and monitoring of financial controls and policies and procedures.
Performs work in an organized fashion and utilizes time wisely.
Meets or exceeds determined deadlines for claim submission, financial report preparation and accounts receivable status follow-ups.
Performs other duties as required.
Qualifications:
A Bachelor’s Degree in Accounting is preferred. Professional with demonstrated proficiency in Medicaid billing, collections, and payroll processing. Must be proficient with Excel and other applicable Microsoft Office products. Good communication skills and the ability to work well with people are essential. Strong organizational skills with the ability to multi-task and eagerness and aptitude to learn. Medical billing background preferred. Demonstrated leadership skills are beneficial.
Physical Requirements:
Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Hearing and vision within normal ranges is necessary for normal conversations to receive ordinary information and to prepare or inspect documents.
No heavy lifting is expected. Exertion of up to 10 lbs. of force occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculators, copiers, and FAX machines.