Reporting to the Revenue Cycle Manager, the Billing Coordinator will be responsible for resolving simple to moderate systems edits from the electronic billing systems to facilitate the accurate and timely payment of claims. Will be responsible for pre- and post-claims edits and ensure the processing of clean claims for all utilized systems. Will be responsible for submitting and working tickets related to billing system errors and improvements. Will be required to run routine and ad-hoc reports to analyze patterns, trends, interface issues and identify other areas for operational improvement. Will be responsible for working denied claims and completing AR follow up with various payers. Must be CPT and lCD coding experienced and proficient at interpreting Managed Care coding guidelines and coverage policies. Will be expected to effectively communicate and troubleshoot workflow problems. Will assist in developing and documenting policies and procedures.
Process simple to moderately complex pre- and post- billing claims edits. (30%)
Collect delinquent outstanding balances as quickly as possible by applying collection best practices as defined by the Standard Operating Procedures and training protocols and or as defined by the AR manager (25%)
Assist with special projects including payer compliance analyses and electronic systems fixes and improvements. (20%)
Prepare and compile statistical reports for review by the administrative team. (10%)
Evaluate denials and partial payments to determine if further reimbursement is valid. (10%)
Perform similar and related duties as assigned. (5%)
Requires a bachelor's degree or equivalent in education, training, and experience, plus two years of related experience.
Certified coder preferred.
Must be CPT and ICD experienced.
Equal Opportunity Employer / Disability / Veteran
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