Athletico

Billing Coordinator

Job Locations US-IL-Westmont
Post Date 2 months ago(4/15/2022 10:22 AM)
Job Function
Billing Department
Requisition #
2022-21381
Zip Code
60559

Overview

Mission Statement and Core Values

Athletico’s sole purpose is to provide exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is accomplished through building on our core values of patient/client satisfaction, accountability, teamwork and continuous improvement which are the foundation for our unique culture.

 

Position Summary

The position provides billing/collection support to all departments within the Billing Center. The role accurately and timely contributes to the execution of all Billing processes. This position communicates with internal departments, patients and external vendors in order to accomplish optimum outcomes.

Responsibilities

Essential Duties and Responsibilities

  • Provide customer service both internally and externally
  • Capture accurate clinician demographic and clinic information in a timely manner
  • Retrieve, match and submit appropriate clinical documents in order to achieve optimum collections
  • Troubleshoot unmet protocols in order to capture all Industrial Rehabilitation (IR) and Auto charges daily
  • Update applicable databases and websites
  • Communicate with clinicians, patients and external customers in order to comply with billing, credentialing, government and refunding protocols
  • Research overpaid account activity in order to problem solve and execute
  • Refile claims when inappropriate payment and denials are received
  • Collect, sort and log daily batches on spreadsheets
  • Research quality assurance reports in order to prevent delinquencies
  • Submit legal documents to legal counsel and third party administrators timely
  • Audit accounts in order to resolve line item credits and incorrect adjustments on a daily basis
  • Ensure accounts are balanced properly
  • Refile correct insurance which entails backing out previous contractual, posting and filing correct insurance for each date of service
  • Process coordination of benefits recalculations
  • Open and close batching in order to clear up deductibles, reverse write offs, and clear balances to patients
  • Maintain Billing spreadsheets
  • Audit, correct and communicate clinician billing errors
  • Analyze and audit the appropriateness of adjustments taken by Cash Posters and Account Receivable Representatives daily
  • Audit the integrity of manual payment posting and electronic payment posting daily
  • Communicate account inconsistencies to the Cash Application Managers and Account Receivable (AR) Managers
  • Troubleshoot co-pay posting errors at the request of the Account Receivable Representative or clinics
  • Provide internal customer service to company clinics and Billing Center staff
  • Troubleshoot and correct inaccurate patient demographic data
  • Update referring physician and insurance company databases
  • Verify charges in order to ensure accuracy of billed units and capture billed charges
  • Ensure timely processing of denials and patient balance through processing zero payment Explanation of Benefits (EOB) in the billing system
  • Retrieve and attach primary EOB from billing system and submit to secondary carrier in order to achieve optimum collections
  • Rebill secondary claims
  • Perform account maintenance on defined fields in billing system
  • Administer and resubmit industrial rehabilitation Electronic Remittance Advice (ERA) denials received via third party database
  • Match and mail hard copy claims and notes to insurance companies
  • Perform quality checks on timeliness of waivers of liability via report
  • Monitor the clinic compliance of pre authorization guidelines
  • Ensure clinics handle required billing documentation
  • Scan documents into document management system

 

Additional Duties and Responsibilities

  • Attend department , Billing and Collection staff meetings
  • Perform other duties as required

Qualifications

Job Requirements/Specifications

 

Education and Experience: The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • High school diploma required
  • Associate’s degree or equivalent work experience is preferred
  • Knowledge of Microsoft Office, including proficiency with Excel, MS Word and Outlook
  • Prior experience in data entry preferred
  • Knowledge of healthcare billing systems preferred

 

Essential Qualifications:  To perform this job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Demonstrated ability to work effectively with both internal and external customers
  • Demonstrated ability to make a clear agreement to get something done and take responsibility to achieve that commitment
  • Demonstrated ability to develop personally and professionally
  • Demonstrated ability to anticipates the needs of coworkers and proactively assists them to meet a common goal
  • Demonstrated ability to analyze account activity in order to accurately refund patients and vendors for overpayments made
  • Demonstrate the ability to actively work reports in order to prevent a delay in claims and statement processing
  • Proven ability to clearly organize and effectively convey information
  • Proven skill to work independently in a fast-paced environment
  • Proven ability to be detail-oriented and ability to look for potential challenges while executing daily processes
  • Demonstrated ability to understand and determine priorities, effectively manage time and develop work plans in order to accomplish tasks and/or projects

Language Skills

  • Ability to read, write and speak English proficiently

 

Physical Demands: The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

  • Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
  • While performing the duties of this job, the employee is regularly required to talk and hear
  • Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to:  remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
  • Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
  • Occasionally lift and/or move up to 20-25 pounds 
  • Fine hand manipulation (keyboarding) 

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Internal office
  • The noise level in the work environment is usually low

Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.   This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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