PATHS

Salary range is $65k-$72k/year

Job Description:

PURPOSE 

This position will act as the primary staff liaison with CCNV to ensure all processes are in place to receive the maximum revenue for the health center. Works closely with PATHS Providers as well as with the Finance Department to insure timely and accurate reporting for financials are complete.

DUTIES AND RESPONSIBILITIES

· Oversee action items submitted by the CBO team members for final resolution

· Submit weekly incomplete encounter lists to  providers

· Follow up daily incomplete encounter list with  providers the last week of each month

· Communicate all billing process changes to appropriate organizational staff

·Participate in monthly CBO meetings

· Follow up with providers, front desk, and other staff on coding and other claim errors

· Communicate best practices to appropriate organizational staff members

· Perform monthly coding audits and report to appropriate organizational staff members and improve coding compliance to maximize revenues

· Coordinate training/recommendations for Revenue Cycle Management process improvements with Site Managers

· Works to build positive relationships with providers.

· Review the batch control log, approve the deposit verification log, and review monthly write off reports

· Attends monthly provider meetings to offer training and be a support to clinical staff

· The billing coordinator will work with providers to make sure all documents are coded appropriately for billing and charts are locked within the 72 hour window stated in the policy.  

· Assist the finance department with deposits, patient refunds, and other financial transactions as needed

· Will work with CCNV on the Medicaid Wrap Reports

· Will assist the CFO in cost reporting, UDS reporting, and all other reporting for the health center

· Prepare all policies and procedures related to claims, billing, and write-offs

· Maintain employee payment plans, posting, and balance with human resources/payroll

· Maintain LabCorp invoicing and verification before sending to finance for payment

· Maintain FixHT reports and forwarding to CBO for processing.  Attend monthly conference call with FixHT for report pulling and verification.

· Maintain Transworld invoicing and notation to accounts before forwarding to finance.  Apply any payments due to PATHS from Transworld.

· Attend necessary training opportunities when applicable

· Maintain new fees for monthly Board approval.  Enter charges into eCW once approved.

· Set up and/or maintain eCW back end operations to ease processes for the front desk, nursing, billing and provider staff.

· Maintain all front desk/referral staff set up and login for insurance websites

Preferred Skills:

EDUCATION AND EXPERIENCE
Required:
•High School Diploma/GED      •Excellent written and verbal communication skills                    •Excellent problem solving skills                •Knowledge of FQHC billing protocols        •Certified Professional Coder
Preferred:
•3 or more years experience working in billing in a medical office.  •Experience working in a federally qualified health center (FQHC). •Experience using eClinicalWorks electronic health record (EHR) system.          •Organization, management and leadership skills.