Medical Biller & Data Coordinator
Summary
| Title: | Medical Biller & Data Coordinator |
|---|---|
| ID: | 3106 |
| Industry: | Not for Profit |
Description
Medical Biller & Data Coordinator
Schedule: Monday–Friday, with occasional evenings/weekends based on program needs
FLSA Status: Hourly / Non-Exempt
Reports To: Director, PA Center for Diabetes Prevention & Education
FLSA Status: Hourly / Non-Exempt
Reports To: Director, PA Center for Diabetes Prevention & Education
About the Role
Our client, the Sight Center of Northwest Pennsylvania, is seeking a full-time Medical Biller & Data Coordinator to support their Diabetes Prevention Program (DPP). This role is responsible for accurate billing and reimbursement, high-quality data entry and reporting, and program compliance to support CDC recognition, grant reporting, and community impact. This position also serves as a DPP Lifestyle Coach, supporting participant success through evidence-based education and encouragement.
What You’ll Do
Medical Billing & Reimbursement
- Process billing for DPP/Medicare DPP services (including performance-based Medicare G-codes, as applicable) and commercial payer claims
- Verify eligibility, coverage, documentation, and participant consent forms
- Submit claims, track payments, resolve denials, and follow up with payers as needed
- Maintain billing logs, reconciliation reports, and payer-aligned documentation
- Coordinate with finance staff and/or contracted accounting support
Data & CDC Reporting Support
- Maintain participant records in the CDC-approved DPP system (attendance, weights, activity minutes, outcomes)
- Conduct routine data quality checks and coordinate corrections with program staff/coaches
- Prepare and submit required CDC DPRP reports to support ongoing recognition
- Track equity-focused and grant-required metrics, and create dashboards for program review and partners
Referrals & Partner Coordination
- Manage referral intake from clinical and community partners
- Support “closed-loop” referral tracking (referred → contacted → enrolled → retained)
- Coordinate secure data sharing/reporting with approved partners and community sites
Lifestyle Coaching & Program Support
- Facilitate group sessions and 1:1 coaching focused on nutrition, physical activity, and healthy lifestyle change
- Deliver the National Diabetes Prevention Program curriculum and support participants toward program goals
- Support audits, funder monitoring, CQI activities, team check-ins, and participant communications
What We’re Looking For
Required:
- Associate’s degree or equivalent experience in medical billing, healthcare administration, public health data, or a related field
- Experience with medical billing and/or healthcare data management (Medicare DPP strongly preferred)
- Working knowledge of insurance verification, claims submission, payment posting, and denial resolution
- Strong Excel/Google Sheets skills and ability to learn new systems quickly
- Strong attention to detail, confidentiality, and professionalism (HIPAA/privacy compliance required)
- Ability to work independently, manage deadlines, and communicate effectively
Lifestyle Coach Requirement:
- Completion of a CDC-recognized Lifestyle Coach training program OR willingness to complete within 90 days of hire
- Combination of desk/computer work and occasional on-site program support
- Ability to stand, walk, and facilitate basic low-impact movement activities and group engagement
- Occasional travel within Erie County may be required
Why This Role Matters
This is a mission-driven role that directly supports:
This is a mission-driven role that directly supports:
- Program sustainability through accurate billing and reimbursement
- Participant success through lifestyle coaching and data-driven program delivery
Interested candidates will please submit a résumé along with pay requirements in confidence.
JL Nick & Associates and the Sight Center of Northwest PA are equal opportunity employers.
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