Job Overview
Experience in Behavioral Health Field highly preferred
Billing Coordinator – PAX Recovery
The Billing Coordinator serves as the primary liaison between PAX Recovery and the external
billing company, ensuring accurate documentation, insurance verification, prior authorization, and
timely reimbursement of services.
Key Responsibilities:
- Verify patient insurance eligibility, benefits, and coverage prior to the start of services.
- Obtain and track prior authorizations and ensure all authorization requirements are met before
services are rendered.
- Review patient charts to ensure all required clinical and billing documentation is complete,
accurate, and supports medical necessity.
- Coordinate with providers and clinical staff to obtain missing or corrected documentation as
needed.
- Submit complete and accurate patient information and supporting documentation to the external
billing company.
- Monitor claims throughout the billing process and collaborate with the external biller to resolve
claim denials, rejections, and requests for additional information.
- Investigate denied claims, prepare appeals when appropriate, and follow up with insurance
carriers to maximize reimbursement.
- Maintain accurate documentation of billing activity, authorizations, communications, and account
updates.
- Respond to insurance and patient billing inquiries in a timely and professional manner.
- Ensure compliance with HIPAA, payer guidelines, and organizational policies.
- Identify trends related to denials, documentation deficiencies, and reimbursement issues, and
recommend process improvements to enhance revenue cycle performance.
The Billing Coordinator plays a key role in supporting the organization's revenue cycle by ensuring
accurate documentation, timely insurance verification and authorizations, effective denial
management, and seamless coordination with the external billing partner to maximize reimbursemen.
Job Type: Full-time
Pay: From $1,200.00 per week
Work Location: In person
