Billing Coordinator

Summary

Discovery Institute Drug & Alcohol Rehab New Jersey is seeking a Billing Coordinator to support outpatient healthcare billing operations. The role verifies insurance eligibility, manages authorizations, submits and reconciles Medicaid and fee-for-service claims, tracks reimbursements, and maintains accurate billing records while ensuring regulatory compliance.

Responsibilities

• 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

Skills

• 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
• IT IS A REMOTE POSITION, HOWEVER WE ARE LOOKING FOR SOMEONE CLOSE TO MARLBORO, NEW JERSEY

Qualifications

Must Haves

• 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
• IT IS A REMOTE POSITION, HOWEVER WE ARE LOOKING FOR SOMEONE CLOSE TO MARLBORO, NEW JERSEY

Benefits

• Remote position