What are the responsibilities and job description for the Medical Billing Coordinator position at Resource Center?
Title: Medical Billing Coordinator
Reports to: LGBTQIA Health Practice Manager
Position Overview:
The Medical Billing Coordinator manages all insurance verification, coding & charge capture, & oversight of the third-party billing on behalf of a busy LGBTQIA primary care practice. This role ensures accuracy & timeliness in all aspects of the revenue cycle management process.
Job Duties & Responsibilities:
Reports to: LGBTQIA Health Practice Manager
Position Overview:
The Medical Billing Coordinator manages all insurance verification, coding & charge capture, & oversight of the third-party billing on behalf of a busy LGBTQIA primary care practice. This role ensures accuracy & timeliness in all aspects of the revenue cycle management process.
Job Duties & Responsibilities:
- Manage patient billing & work with RSM vendors to conduct insurance verification, eligibility, & benefits before each medical visit & ensure all prior authorization is complete before delivery of ambulatory practice services.
- Lead, evaluate & maintain processes & workflow to ensure efficient & accurate billing & collections.
- Confirm coding of billed services is accurate & complete before submission to billing service or clearing house.
- Post & track receipts from patients.
- Serve as primary liaison to third-party billing service, including oversight of billed charges, denials, appeals, payments, & postings.
- Monitor Availity & other billing software dashboards & review account receivables with the clinic, financial & senior leaders.
- Coordinate the practice's billing, reporting, & collection needs in conjunction with clinic staff, agency partners, & outside vendors.
- Assists in retrieving provider encounter notes to support billing/ charges when needed.
- Liaison with the third-party laboratory to ensure accurate account billing & payment
- Assists patients in understanding insurance benefits & patient financial responsibilities before services are rendered.
- Ensure workflow & standard operating procedures are documented & maintained.
- Work with clinic leadership to identify areas of improvement in the insurance verification, billing, & collection processes.
- Flexible team player able to manage multiple priorities in growing primary care practice.
- Model the highest level of service & professionalism for internal & external customers.
- Other duties, as assigned.
- High School Diploma required. Some college education preferred
- Two years’ experience in insurance verification & billing in a comprehensive & specialty care environment.
- Experience working with third-party billing services is preferred.
- Certification in coding & billing preferred
- Experience in ambulatory practice insurance verification, billing, & coding.
- Knowledge of physician reimbursement, medical terminology, ICD-10, CPT, & HCPCS coding.
- Proficiency in MS Word, Excel, & Outlook.
- Maintain excellent attention to detail & a pleasant demeanor in a shared office setting
- Strong time management skills
- Excellent written & oral communication skills
- Excellent technical & business acumen
- Experience in eClinicalWorks preferred
Salary : $19 - $21