Billing Coordinator (Remote)

at  Bayshore HealthCare

A DAY IN THE LIFE

• Coordination and participation in various Billing digitalization and transformation projects including but not limited to automation, reconciliation, validation, and analytics of Bayshore Patient Support Services.
• Participate in additional duties include reconciliation of billing, data entry, filing, and obtaining/organizing supporting documentation including preparation of reports and spreadsheets as needed; ensuring monthly timelines and targets are met.
• Leverage the maintenance of all tools and processes utilized in monthly month end activities.
• Ensure deadlines are met for all reporting commitments.
• Acquire data from primary or secondary data sources and maintain databases/data systems.
• Generate and submit invoice drafts and supporting back-up to Reviewers/Approvers and make revisions as required.
• Validate and Prepare billing files in numerous forms, including input and processing in keeping with the systems and processes used by PSS; prepare data and maintenance of Billing processes established by the Team.
• Managing multiple payer and complex billing rules. Update and Manage Process documentation of PSS Billing and Analytics.
• Participate in the planning and execution of Specialty Services Billing and Analytics projects, Month end activities, as well as the Maintenance of the PSS Billing Control Environment.
• Resolution of billing queries and questions from clients and stakeholders including but not limed coordination of all program billing activities between the programs, finance and the various internal teams when required.
• Brings to the attention of the Senior any requests that do not comply PSS billing policy and resolves them with the assistance of Team.
• Coordination and tracking of all Program Billing and analytics activities with a focus on AGILE methodologies.
• Completion of add hock tasks as requested by the Senior Manager.
• Participate in ongoing internal and/or external continuing education activities.
• Adhere to Bayshore Policies and Procedure
• Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System
• Participates in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any health and safety risks or concerns. Responsible for completing Accident Reports for all direct reports who injure themselves on the job, within 24 hours of the incident.
• Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel.
  Job Qualification

Bayshore Specialty RX is looking for a Billing Coordinator to join our PSS Program Billing and Analytics Team. The Billing Coordinator, under the direction of the Senior Manager – Program Billing and Analytics, coordination of monthly billing, reconciliation, data management and verification activities as required by the Bayshore Specialty Rx. Maintaining data integrity while finalizing and validating all billing data in accordance with contractual obligations.
This position is operated remotely.