Billing Coordinator
: Job Details :

Description: The Billing Coordinator (Generalist) is responsible for multiple components of the billing process, including Charge Entry, Edits, Payment Posting / Reconciliation, Accounts Receivable (denials and appeals). Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. Duties: • Verifies insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre-certification for scheduled surgeries and admissions • Enters office, inpatient, and/or outpatient charges with accurate data entry of codes. Ensures charges are entered/processed in accordance with policies and procedures • May run workbench reports and communicate with appropriate parties for missing charges • Posts payments / adjustments from paper EOBs and ERAs using approved methodologies with strong reconciliation skills. • May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff • Works system edits and clearinghouse rejections. Proficient in moderate to complex encounters and problematic accounts • Works daily Accounts Receivable accounts via online workfile and/or hard-copy reports; checks claim statuses, re-submits claims, edits, denials and process appeals which includes submit claim reconsiderations and writes appeal letters on a timely basis • Researches unidentified / missing checks and communicate with appropriate parties for replacements • Works credit balance report to ensure adherence to government regulations/guidelines • Analyzes claims system reports to ensure underpayments are correctly identified and collected from key carriers. Reviews and resolves billing issues and provides recommendations • Identifies and assists in resolves credentialing issues • Meets with practice management, leadership and/or physicians on a scheduled basis to review Accounts Receivable and current billing concerns • Mentors less experienced Billing staff and assists Billing Manager/FPA Manager in training new staff • May be responsible for collection of time-of-service payments, and maintaining daily transaction record of collected payments • Maintains working knowledge and current in third party payer requirements Requirements: Associates Degree or high school diploma/GED plus 3 years of relevant experience CPC Preferred Trained in computerized medical billing 3 years' experience in medical billing or health claims in a health care or insurance environment, and familiarity with ICD/CPT coding Benefits Health Benefits: Medical, Vision and Dental 401k retirement plan Paid Time Off Hybrid Work Model Salary Range: 40k-60k PIf4f985523###-####8-33572842