Billing Coordinator

🔥 1 minute ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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Discovery Institute Drug & Alcohol Rehab New Jersey

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1970

🧘 Wellness

👥 B2C

⚕️ Healthcare Insurance

Wellness • B2C • Healthcare Insurance

Discovery Institute Drug & Alcohol Rehab New Jersey is a long-established addiction treatment provider based in Marlboro, New Jersey, offering medical detox, residential inpatient care, intensive outpatient programs, relapse prevention, and a wide range of therapy services (individual, group, CBT, DBT, equine, family therapy). The center provides dual-diagnosis care, holistic recovery options, telehealth, vocational and alumni support, and accepts many major insurance plans while offering 24/7 admissions and community resources.

📋 Description

• Reconcile bed utilization charts with billing spreadsheets to ensure accuracy and consistency. • Run eligibility verifications (EMEVS) for potential outpatient admissions and communicate funding information to admissions staff. • Verify insurance eligibility and update client insurance information within KIPU as needed. • Conduct monthly eligibility checks for all outpatient clients and update records accordingly. • Identify and communicate changes in client funding sources. • Maintain and update outpatient billing spreadsheets on a weekly basis using attendance records. • Track outpatient authorizations and notify counselors of upcoming authorization expirations. • Add Vivitrol services to appropriate Fee-for-Service authorizations. • Prepare and submit outpatient Medicaid and Fee-for-Service claims. • Reconcile Medicaid and Fee-for-Service payments and correct billing discrepancies. • Post Medicaid remittance payments to utilization tracking spreadsheets. • Assist with back-billing of Medicaid claims as needed. • Process and track state-funded Uber transportation reimbursements. • Generate and send client deductible and co-payment invoices. • Provide billing coverage for Detox and Residential Billing Specialists during absences. • Maintain confidentiality and compliance with all HIPAA, state, federal, and organizational requirements. • Perform other duties as assigned.

🎯 Requirements

• Understanding of healthcare insurance verification and authorization processes. • Knowledge of Medicaid billing regulations and reimbursement procedures. • Ability to analyze billing data and resolve discrepancies. • Strong problem-solving and critical-thinking skills. • Ability to work independently and collaboratively within a team environment.