Recognized for Excellence. Chosen for Caring.
Human Resources: 700 Lawn Avenue, Sellersville, PA 18960  |  215-453-4874
Billing Coordinator
Full Time, 9am-5:30pm, Monday-Friday
Sellersville, PA 18960

Grand View Health, which includes Bucks County's first hospital, has provided residents of Bucks and Montgomery counties with comprehensive healthcare services since 1913. Now a century strong, Grand View offers a range of inpatient and outpatient care, particularly emphasizing the areas of surgery and orthopedics, women's and children's health, heart and vascular care, and cancer treatment. Our colleagues enjoy the best of both worlds by working for a high-quality, low-cost healthcare provider in a collaborative, community environment. Help us build this new era of wellness and lead our community to a healthier future.
 

Responsibilities

Under the direction of the Billing Office Manager, the Billing Coordinator is responsible for supporting all billing processes within the department dedicated to billing for primary care and specialty practices of Grand View Health. Responsibilities include payment posting, pursuing outstanding receivables and working with patients to ensure the health of the revenue cycle. The Billing Coordinator:

  • Is a critical contributor to the health of the revenue cycle from claims review and submission to claims adjudication and payment posting.
  • Navigates and utilizes multiple insurance platforms, including banking and credit card applicatons.
  • Acts as a liaison between all insurance company representatives and Grand View Health.
  • Maintains working knowledge of CPT and ICD-10 codes.
  • Possesses an in-depth understanding of managed care contracts and their limitations. Stays informed of third-party regulations and requirements through published materials, including local coverage determinations (LCDs) for federal, state and commercial payers.
  • Ensures timely submission of all claims (electronic and paper-generated).
  • Posts payments received by lockbox, credit cards, electronic funds transfer, electronic remittance advice, mail correspondence, cash and checks.
  • Closely monitors accounts receivable process, including denial management, bad debt collections and various work lists. Follows up on unpaid claims and payments due.
  • Analyzes insurance payments for accuracy and compliance with contract discounts, as well as reviews discrepancies in payments, adjustments and offsets.
  • Monitors trends with payors through streamline denials on accounts. Identifies and reports with management team monthly on issues identified.
  • Responsible for the collection process, which includes evaluating and reporting delinquent accounts directly to the collection agency, as well as calling patient for overdue balances and sending collection letters.
  • Reconciles day-end postings.
  • Manages collections process, which includes evaluating and reporting delinquent accounts directly to collection agency vendor after initial calls and statements have been pursued within the Grand View – Medical Practices billing office.
  • Processes refunds and credits for patients and insurances.
     

Qualifications

EDUCATION AND EXPERIENCE:

  • High school diploma/GED required.
  • Associate's degree in Health and Business Administration preferred.
  • Bachelor's degree preferred.
  • Over 3 to 5 years of office experience, including 1 year in a healthcare organization, preferred.


SKILLS AND ABILITIES:

  • Possesses familiarity with Microsoft Office (Word, Excel, PowerPoint, etc.).
  • Competency in the use of a variety of computer hardware and software systems.
  • Demonstrated analytical skills.
  • Demonstrated problem-solving skills.
  • Demonstrated time management and priority-setting skills.
  • Demonstrated written communication skills.
  • Strong verbal communication and listening skills.
  • Effective interpersonal skills.
Grand View Health is an equal opportunity employer.
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