Billing Coordinator

Job Description

Job Description

Billing Coordinator

Who we are:

C4 was founded in 1972 to help people released from psychiatric hospitals into the Uptown and Edgewater communities stabilize in the community. Since that time, C4’s service area has expanded to rekindle hope for individuals and families on Chicago’s north and west sides, remaining committed to community-level, system-focused interventions; C4 always seeks to avoid restrictive levels of care and maximize families’ agency to lead their recovery, allowing them to heal in their homes and community. C4 is the leader in building hope and breaking down barriers – from the personal to the systemic - for Chicago’s systematically disadvantaged communities through the delivery of effective, empirically supported, and trauma-informed mental health services. C4 seeks to equip 7,000 individuals annually to help them move from trauma to living, to working and thriving within their community.

Our Mission - Community Counseling Centers of Chicago (C4), a behavioral health advocate and social service provider, offers quality, comprehensive customer-oriented services tailored to the diversity of its consumers.

Our Vision - Community Counseling Centers of Chicago (C4) will be, and will be recognized as, essential to the wellbeing of the communities we serve.

Philosophy - C4 believes that people recovering from mental illness and emotional trauma are able to live, work and thrive in the community.

Duties and Responsibilities:

• Oversees the general operations of Medicare, Medicaid, and Manage Care billings and procedures.
• Responsible for the billing, payment posting, follow-up of unpaid claims, and appeals.
• Works claim follow up and claims denials to ensure maximum reimbursement for services provided.
• Responsible for verifying patient registration information, obtaining prior authorization for services, and monitoring patient service utilization with a goal of maximizing revenue for the department.
• Work with internal support teams and external partner network ensuring data integrity and compliance.
• Adheres to all established procedures related to billing requirements, and maintains thorough understanding of state registration, authorizations, services, and billing procedures and methods of contract funding sources.
• Works with Office Services and clinical staff to maximize client eligibility for benefits and appropriate reimbursement for services.
• Maintain pay source. Submit and track client registrations, services, and billing in CIS.
• Responsible for prioritizing own work to ensure completion.
• Responds to patient inquiries and resolves billing problems; may provide clerical support.
• Check the quality and timeliness of own work.
• Adhere to ethical policies.
• Orient new staff members to departmental policies and procedures at the direction of supervisor
• Other duties as assigned by supervisor.

Competencies (Skills, Knowledge, and Experience):

• Knowledge of health care insurance processes
• Must know how to read EOBs and EOPs and understand denial codes.
• Ability to prioritize and handle multiple tasks in a changing work environment.
• Ability to speak and write clearly and effectively.
• Ability to work independently as well as a part of a team.
• Ability to develop solutions to problems.
• Communication skills to include interpersonal, teamwork, and collaboration skills.
• Proficient in Windows environment
• Understanding of personal and professional boundaries.
• Organizational skills
• Strong attention to detail.
• Communication skills to include interpersonal, teamwork, and collaboration skills.