Billing CoordinatorThe Billing Coordinator is a non-exempt employee of National Psychiatric Care and Rehabilitation Services (NPCRS). NPCRS is the sole employer, payroll entity, timekeeping authority, and Human Resources authority for this position. As part of the employee's NPCRS-assigned duties, the position performs healthcare revenue-cycle and authorized administrative support that may benefit NPCRS, Fair Oaks, Virosa, and other NPCRS-approved affiliated or commonly owned entities.
The position works from a shared office and may support multiple facilities, legal entities, tax identification numbers, payer contracts, bank accounts, and operating teams. At the Level III assignment, the employee independently manages full-cycle billing for three or more companies or legal entities and may complete NPCRS-authorized office, executive-administrative, courier, errand, and light office-support assignments for designated owners or executives.All assignments must be lawful, safe, accurately recorded as time worked, appropriately prioritized, and performed within written authority, entity-separation, privacy, security, expense-reimbursement, vehicle-use, and supervisory controls. The Billing Coordinator applies current California and federal healthcare billing requirements, payer contracts, company policy, and applicable wage-and-hour requirements.
The position does not make clinical determinations, independently establish medical necessity, alter clinical documentation to obtain payment, perform unlicensed patient-care functions, or agree to work off the clock.Essential Duties and ResponsibilitiesCentralized Multi-Entity Revenue CycleEligibility, Benefits, Authorizations, and Financial ClearanceClaim, Invoice, and Coding IntegrityPayment Posting, Reconciliation, and Credit BalancesDenials, Appeals, and Accounts ReceivablePatient Billing, Customer Service, and CollectionsCompliance, Privacy, and Program IntegritySystems, Records, and ReportingTraining, Collaboration, and Continuous ImprovementNPCRS-Assigned Shared Office and Executive Administrative SupportErrands, Local Travel, Expense, and Safety ResponsibilitiesMinimum QualificationsHigh school diploma or equivalent.Five years of healthcare billing, behavioral-health billing, medical accounts receivable, payer authorization, or closely related revenue-cycle experience; equivalent combinations of education and directly relevant experience may be considered.Demonstrated full-cycle billing experience, including eligibility and benefits, authorization tracking, claim submission, payment posting, denial follow-up, appeals, aging, refunds, patient billing, and collections.Working knowledge of commercial and managed-care billing and the ability to learn county, Medi-Cal, and other governmental billing requirements applicable to company operations.Proficiency with electronic health records, payer portals, clearinghouses, spreadsheets, Microsoft Office, and secure document repositories.Ability to analyze remittance information, contracts, fee schedules, aging reports, claim edits, and account activity with exceptional attention to detail.Clear written and verbal communication, sound judgment, professionalism, discretion, and ability to manage confidential behavioral-health information.
Billing Coordinator in san jose at Unknown Company
This position is listed as contract and onsite.