Billing Coordinator

JOB SUMMARY:    
Responsible for maintaining a timely and accurate billing system.
 
SCOPE OF ROLE AND RESPONSIBILITIES:
Oversight and participation in all aspects of patient’s billing functions.
 
ESSENTIAL FUNCTIONS:

• Review rejected Claims and taking necessary steps to finalize claim, to include re verification of insurance, obtaining prior authorizations, contacting Payor, physician offices & patients
• Review Pharmacy order and label verifying that the billing information matches dispense prior to submission of claim.

• Contacting patients to set up or reschedule delivery and update appropriate staff

• Ensure copay’s are collected or billed to appropriate Payor

• Timely and accurate submission of paper claim.  Responsible for accurate submission of necessary documentation to the insurance companies with claims.

• Responsible for knowing and following policies and procedures.

• Participate in collection activities and accounts receivable management. 

• Participate in Center QA&I to ensure achievement of excellence.

• Ensure A/R reflects the appropriate amount expected from Insurance Carrier.

 
ADDITIONAL RESPONSIBILITIES:
 

• Perform other duties as assigned by supervisor 

QUALIFICATIONS & ABILITIES:

• Good computer skills and detailed oriented.

• Good communication skills.

• Knowledge of medical terminology.

• One-year experience in billing, cash posting or collection procedures, preferably in healthcare.

• Good communication skills.

• Able to handle multiple tasks in a stressful environment.

  
REQUIRED EDUCATION/TRAINING AND/OR PROFESSIONAL EXPERIENCE:

• High School Diploma or Equivalency

 
EXPECTED PROFESSIONAL COMPETENCIES:

• N/A

LICENSURE/CERTIFICATION REQUIREMENTS:

• N/A

CONTINUING EDUCATION:

• N/A

 
DIRECT REPORT:       
Reports to the Billing Manager or V.P of Reimbursement
 
 
 

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