Medical Billing and Claims Coordinator

Position Summary

As a valued member of our accounting team, you will play a crucial role in managing billing processes, submitting claims to insurance companies, and following up on outstanding invoices to ensure timely payments. Collaboration with healthcare providers, patients, and insurance representatives will be essential to execute all billing-related tasks accurately and... efficiently.

Essential Duties And Responsibilities

To succeed in this role, you should be able to handle the following responsibilities effectively:
? Claims Preparation and Submission:
? Prepare, review, and submit medical claims to insurance companies, Medicare, Medicaid, and other third-party payers.
? Ensure all claims are accurate and adhere to industry standards and regulations.
? Billing and Invoicing:
? Generate and send invoices to clients for services provided.
? Maintain detailed records of all billing transactions to ensure clarity and transparency.
? Payment Posting:
? Accurately post payments received from insurance companies and clients.
? Reconcile payments and identify any discrepancies to maintain financial accuracy.
? Follow-Up on Unpaid Claims:
? Monitor unpaid claims and proactively follow up with insurance companies or clients as needed.
? Resolve issues that may delay payments, including claim denials or rejections.
? Compliance and Confidentiality:
? Ensure all billing activities comply with relevant laws, regulations, and organizational policies, including HIPAA.
? Maintain patient confidentiality and safeguard sensitive information.
? Reporting:
? Generate reports on billing activities, including aging reports, revenue cycles, and collection rates.
? Provide insights and recommendations to enhance billing efficiency and reduce claim denials.

Competencies

To thrive in this position, you should demonstrate the following qualities:
? Achievement Focus:
? Show persistence in overcoming obstacles, set challenging goals, and take calculated risks to achieve success.
? Business Ethics:
? Inspire trust by treating others with respect, keeping commitments, and upholding organizational values.
? Customer Focus:
? Develop innovative approaches to meet customer needs and promote customer satisfaction.

Qualifications

To perform this job successfully, the following qualifications are required:
? Education:
? High school diploma or equivalent; an associate's degree or certification in medical billing/coding is preferred.
? Experience:
? Previous experience in medical billing or a related field is preferred.
? Technical Skills:
? Proficiency in medical billing software and electronic health record (EHR) systems.
? Strong computer skills, including Microsoft Office Suite (Word, Excel, Outlook).
? Communication Skills:
? Excellent verbal and written communication skills, with the ability to engage effectively with patients, healthcare providers, and insurance companies.
? Analytical Skills:
? Strong attention to detail and accuracy, with the ability to analyze billing data and identify trends or issues.
? Problem-Solving:
? Capable of resolving billing issues and disputes efficiently.
? Strong organizational and time-management skills.

Work Environment

The work environment is typically low in noise, and reasonable accommodations may be made for individuals with disabilities to perform essential functions.

Physical Demands

While performing the duties of this job, employees are regularly required to sit and frequently need to use their hands for various tasks. Employees may occasionally need to stand and walk, and must be able to lift and/or move up to 10 pounds. Specific vision abilities required include close vision.

This job description is not an exhaustive list of duties and responsibilities. Employees may be asked to perform additional tasks as directed by their supervisor.

Employment Type: Full-Time

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