Claims Coordinator

Job Details

Description

Harbor is seeking a Claims Coordinator. This individual will be responsible for revenue cycle tasks to ensure accurate claim submission and receipt of payment. The individual will work collaboratively with internal and external customers to obtain, update, submit, and interpret client account information.

Position is full-time.

Education/Experience/Other Requirements

• Associates Degree in Healthcare Administration or related field or 3 years Revenue cycle experience required.
• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
• Knowledge of governmental and commercial insurance rules and regulations.
• Must have strong attention to detail.
• Previous coding experience in a behavioral healthcare setting preferred.
• Previous credentialing experience preferred.
• Excellent communication and interpersonal skills.
• Must be able to establish daily work priorities and work independently and efficiently to meet deadlines.
• Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.
  
  

Essential Job Competencies/Primary Duties

• Provides personnel management functions for the payment collections team including hiring, training, supervision, annual evaluation, coaching for success and disciplinary actions.
• Works collaboratively with Collections Coordinator to identify and complete projects with Revenue Cycle team.
• Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
• Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
• Reviews, monitors, updates and ensures timely submission and follow up for payer authorizations.
• Initiates denials process, including appeals and status requests.
• Identifies and tracks denial trends, using both the organizations EHR system and clearinghouse to create robust denial prevention processes.
• Participates, leads and initiates conversations with payers about matters with complex claims and reimbursement policies.
• Uses denial tracking as a tool to recognize opportunity within the department and facilitates additional staff training, and/or new workflow ideas to reduce overall denial rate.
• Provides coverage for claim submission and clearinghouse rejections when needed.
• Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
• Monitors dashboard and runs reports daily to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
• Reviews charges for accuracy and follows up timely on claim generation errors.
• Keeps current with trends and developments related to essential job competencies and demonstrates continued growth.
  
  

About Harbor

• A leading provider of mental health and substance use treatment for over 100 years
• 350+ clinical staff serve over 24,000 clients across multiple locations and in the community each year
• Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
  
  

Why Work for Harbor?

Benefits

It is fast-paced and challenging, but you will have a lot of fun in the process. You will have the opportunity to meet other motivated individuals who are also making a positive impact at our company. Harbor is committed to investing our resources in you! Some benefits of working with Harbor include:

• Medical, dental, and vision coverage
• Retirement plan with company match
• Generous paid time off, sick time, and paid holidays
• Tuition and professional license reimbursement programs
• Clinical supervision hours offered
• Employee referral bonuses
• Ability to make a difference in your community!