Billing Coordinator
About the Job
The Billing Coordinator drives timely reimbursement by managing claims and accounts through key points of the revenue cycle, supporting clean, accurate submissions, tracking claim status, researching and resolving denials/rejections, coordinating corrections and required documentation, and following up with payers and customers until balances are resolved and payments are received.
Job Responsibilities
• Claims Coordination & Denial Resolution: Investigate claim denials and rejections to identify root causes. Coordinate resolutions via EMR, phone, email, and payer portals. Submit corrected claims and follow up on pending claims with insurance carriers.
• Insurance & Documentation: Review patient insurance plans, interpret policy guidelines, and identify secondary or tertiary insurance. Provide necessary medical documentation to payers as requested.
• Collections & Account Follow-Up: Support timely collections from insurance companies and patients. Maintain accurate account notes and action plans for all assigned accounts.
• Customer Service & Stakeholder Support: Handle billing inquiries from patients and insurance representatives via telephone. Provide accurate support and escalate complex issues as needed.
• Quality & Process Improvement: Assist with audits to ensure accuracy and compliance. Address discrepancies, oversee billing-related discharge follow-ups, and contribute to workflow improvements.
Job Requirements
• Detail-oriented with strong accuracy and follow-through.
• Excellent communication skills (phone, email, and written documentation).
• Ability to multitask and prioritize in a fast-paced environment.
• Strong organizational skills and comfort managing multiple account follow-ups.
• Proficiency with computer systems, Electronic Medical Records (EMR) systems, and spreadsheet software (Excel/Google sheets)