Medical Biller & Data Coordinator

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

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

Physical / Work Environment Expectations:

• 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:

• 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.