Billing Coordinator

Role Overview

• Monitors and manages accounts receivable, ensuring the timely collection of payments for services provided.
• Reviews and analyzes outstanding accounts, identifying delinquent or unpaid invoices, and taking appropriate actions to resolve outstanding balances.
• Utilizes electronic billing systems and software to track and update payment information, maintain accurate billing records, and generate reports as needed.
• Collaborates with the billing team to ensure accurate and complete claim submissions, resolving any billing discrepancies or errors.
• Maintains updated records of insurance information, ensuring accuracy and completeness.
• Supports the Revenue Cycle Management team with all efforts related to Revenue Cycle and billing, collections, and Electronic Visit Verifications (EVV).
• Adapts to changes in work responsibilities as required with changing and shifting priorities and focus.
• Monitors rejections from portals to ensure billing reprocessing is identified timely, including EVV where necessary.
• Works as a liaison between the internal billing team, Central Operations and authorizations to correct errors and verify service.
• Provides system updates, weekly audits and data entry support to correct errors so that the completed visits are eligible for billing.
• Monitors AR related to service authorizations to ensure payment.
• Troubleshoots any problems, concerns, difficulties with the system and communicates to Supervisor or Manager.
• Follows SOX compliance within systems as outlined.
• Watches for potential fraud to reduce incorrect billing.
• Audits and validates all billing functions.
• Maintains and grows skillset in various tools utilized for billing.
• Responds to billing inquiries from clients, insurance companies, and other relevant parties, addressing concerns, providing explanations, and resolving disputes in a timely manner.
• Investigates and resolves billing discrepancies or claim denials, working closely with payers and the billing team to facilitate appropriate reimbursement.
• Maintains organized and accurate documentation of all collection activities, including communication logs, payment arrangements, and collections correspondence.
• Stays up to date with relevant insurance regulations, billing guidelines, and industry changes, ensuring compliance with all applicable laws and regulations.
• Adheres to privacy and confidentiality policies when handling sensitive financial and personal information.
• Establishes and maintains positive and professional relationships with clients, insurance companies, and other stakeholders involved in the payment process.
• Communicates with clients regarding their financial responsibilities, payment options, and any outstanding balances.
• Participate in other projects or duties as assigned.

Requirements

• High School Diploma required.
• Zero (0) plus years of experience. Or equivalent combination of education and/or experience.
• Familiarity with insurance verification, authorization, and claims submission processes.
• Proficient knowledge of medical billing codes, including CPT/HCPCS and ICD-10.
• Proficiency in using electronic billing systems and software.
• Excellent attention to detail and accuracy.
• Effective problem-solving and negotiation skills.
• Strong written and verbal communication skills.
• Ability to handle confidential and sensitive information with discretion.
• Exceptional organizational and time management abilities.
• Familiarity with HIPAA regulations and compliance.

Benefits

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)