Job Description
Billing Coordinator
THE ARC OF EVANSVILLE - 3.4
Evansville, IN Job Details Part-time $16 - $18 an hour 21 hours ago Qualifications Spreadsheets Maintaining patient confidentiality Financial issue resolution Medicaid health insurance Medicaid Productivity software Cross-functional collaboration Stakeholder relationship building Full Job Description Job Summary Responsible for processing billing functions for all payer sources for The Arc of Evansville and its various operating units, including Medicaid Waiver (HCBS), traditional Medicaid, commercial/private insurance, private pay, Vocational Rehabilitation, and other funding streams. This position processes claims based on system data and program input, identifies billing exceptions, supports revenue cycle accuracy through billing, reconciliation, and follow-up activities, and assists with accounts receivable management related to public and private revenue sources. Essential Duties Upholds the Agency's Core Values and Code of Conduct. Fosters and supports a person-centered thinking atmosphere. Maintains confidentiality of billing, financial, and individuals served information in accordance with agency policies and applicable regulations. Prepares and submits claims for Medicaid Waiver (HCBS), traditional Medicaid, commercial/private insurance, private pay, Vocational Rehabilitation, and other payer sources. Ensures accuracy of service codes, modifiers, units, authorizations, and dates based on system data and program documentation. Processes billing in accordance with established schedules, payer requirements, and submission deadlines. Maintains billing records and supporting documentation for all payer sources. Assits with implementation and maintenance of billing processes for new services or payer sources, including private insurance billing. Utilizes billing systems, reports, and electronic health record data to identify: Missing or incomplete billing data Units exceeding authorized limits Claims that fail system validation Documentation discrepancies impacting billing Reviews and resolves billing exceptions prior to claim submission when identified. Communicates discrepancies and missing information to program supervisors or designated staff for correction. Tracks unresolved billing issues and follows up as necessary to support timely claim submission. Monitors accounts receivable across all payer sources. Posts payments and reconciles claims and remittance information. Investigates and resolves denied, rejected, or underpaid claims. Initiates claim corrections, rebilling, and appeals as appropriate. Assists with collection and follow-up activities related to outstanding accounts receivable balances. Verifies eligibility, coverage, and authorizations as needed to support accurate claim submission. Identifies and communicates authorization of eligibility discrepancies impacting billing. Coordinates with program staff and supervisors to resolve issues affecting reimbursement. Follows established billing procedures aligned with payer requirements and agency standards. Ensures claims meet submission requirements based on available system data. Maintains accurate billing records. Assists with internal and external audits. Tracks and reports billing errors, denials, trends, and reimbursement concerns. Required Skills and Abilities Knowledge of healthcare billing processes and payer requirements. Knowledge of Medicaid Waiver and insurance billing practices. Strong analytical, organizational, and problem-solving skills. Ability to identify discrepancies and resolve billing issues efficiently. Effective communication and follow-up skills. Ability to maintain confidentiality and professionalism. Ability to work independently while collaborating effectively with internal departments. Preferred Minimum Qualifications (The following statements represent the minimum experience and training standards which will be used to screen applicants, provided that equivalent substitutions will be permitted in case of deficiencies in either experience or education.) Associate or bachelor's degree in accounting, Finance, Healthcare Administration, Business Administration, or related field; or equivalent combination of education and experience. Minimum of two (2) years of billing experience, preferably in healthcare, Medicaid, or human services billing. Strong attention to detail, organization, and accuracy. Proficiency with spreadsheets, billing systems, and standard office software. Good written and verbal communication skills. Ability to manage multiple deadlines and priorities. Ability to develop and maintain effective working relationships with staff, regulatory agencies, vendors, and other stakeholders.
