Billing Coordinator

Location

United States

Posted

29 days ago

Salary

$60K - $70K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Billing Coordinator

Nema Health

Role Description Nema is seeking a full time coordinator to manage the day-to-day billing and revenue cycle management tasks for our growing business. The ideal candidate has extensive healthcare experience within healthcare billing and with payment practices. This person will act as a liaison between insurance companies, patients, and the Clinical Team to ensure accurate billing practices are executed with high quality. Responsibilities - Pre Authorization Management: - Submit for pre authorizations when needed - Maintain a record of who needs a pre authorization - Submit renewals and track tasks - Claims Submission: - Prepare and submit insurance claims for services provided with accuracy - Minimize delays in payment while adhering to insurance regulations and guidelines - Billing Management: - Monitor billing processes to ensure accuracy and completeness - Identify and rectify any discrepancies or errors - Claim Follow-Up: - Follow up on unpaid or denied claims - Identify reasons for denials and take necessary steps to resolve issues - Improve on our billing system to minimize future claim denials - Payment Processing: - Process payments received from insurance companies and patients - Accurately record transactions and reconcile accounts - Collecting: - Collect outstanding patient responsibilities following claim adjudication - Issue past-due notices for accounts with outstanding balances - Documentation and Reporting: - Maintain detailed records of billing activities, including claim submissions, payments, and denials - Generate reports as needed to track billing performance including monthly revenue reporting - Communication and Coordination: - Respond to inquiries from insurance companies, patients/families, and internal team members regarding billing and financial documents - Compliance: - Stay informed about changes in healthcare regulations and insurance policies to ensure compliance with billing procedures Qualifications - 3+ years previous experience in medical billing and administrative roles interfacing with payers for functions such as eligibility verification and RCM - Proficiency in billing software and electronic health records (EHR) systems such as Silna, Candid and Healthie - Strong understanding of insurance policies, procedures, and billing codes - Knowledge of third party payer reimbursement systems, rules and regulations relating to accounts receivable - Excellent attention to detail and accuracy in data entry and record-keeping - Sharp problem solving skills and ability to investigate and resolve discrepancies - Positive, solution oriented attitude and comfort with ambiguity as Nema builds billing processes - Effective communication skills, both written and verbal - Comfort and familiarity working with spreadsheets and analyzing data - Ability to work independently and manage time efficiently in a remote work environment - High level of integrity and commitment to maintaining patient confidentiality Requirements - VBC or alternative payment model claims billing experience related to telehealth services - Specific experience with CMS 1500 claims - Experience as a clinic or behavioral health facility billing specialist - Experience working remotely - Coding/Billing Certificate from an accredited institute or school preferred - Previous experience working in a healthtech startup - Passion for mental health and expanding access to treatment through insurance Benefits - This role offers a base salary of $60,000-$70,000, which will be determined based on individual experience, qualifications, and market considerations - This role is also eligible for competitive equity, reflecting the impact and scope of the position at an early-stage, mission-driven company - Comprehensive benefits including healthcare, 401(k) with matching, and stipends for work-from-home productivity and continued education - Generous PTO and flexible work hours - Remote-first culture with supportive team norms - Inclusive, trauma-informed leadership - Opportunity to grow with a fast-moving, mission-driven company

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