Administrative Coordinator I/Reimbursement (Pre-Billing Supervisor)
CIBH ADMINISTRATION
The Administrative Coordinator I/Reimbursement (Pre-Billing Supervisor) provides supervision for the functions of the CIBH Reimbursement Team related to Client Financial Intake and Assessment, Insurance verifications and service authorization and provider credentialing. Each of these functions play a critical role in ensuring that CIBH bills clients in an accurate manner and that our accounts receivable remains reasonable and collectable.
- Provide support to Reimbursement Supervisor in all aspects of pre-billing process.
- Supervise and evaluate Account Clerk positions who complete Client(patient) financial Assessments.
- Compute client financial responsibility for costs of services b compiling information on incomes and family size and verifying insurance coverage. Information will be entered into electronic medical records.
- Create, manipulation, and interpretation of various electronic health record reports. Individual client accounts may need to be reconciled for changes related to sliding fee scales and/or insurance charges.
- Credentialing - Position will assist or supervise staff who complete insurance credentialing and re-credentialing applications utilizing several electronic vendor sites for providers and licensed clinical staff Maintaining current staff credentialing status with various vendors/payers is essential.
- Medicaid Eligibility provide general supervision of the Department of Human Services contractor that completed Medicaid eligibility for individuals. Productivity and utilization of this service is also tracked and reported.
- Authorizations Position will assist or supervise staff who complete insurance service authorizations. Service authorization is an important part of the pre-billing process so that services that staff complete are billable and paid by insurance companies.
- Providing and modeling exceptional customer services is a must. Position will interact with clients that may have questions about the bills, financial responsibility or insurance coverage.
- Performs other related duties as assigned.