Billing Coordinator

About the role

The Billing Coordinator shall be responsible to manage the billing system for the Central Business Office and Physician Business Office. The Coordinator will be responsible to ensure accounts are billed accurately according to payer and regulatory requirements by reviewing and creating edits based on analysis of accounts receivables, payer rejections, and denial trends. This individual will provide QA to leadership and assist in the development of job aids for training and education. Additionally, the Coordinator will prepare analysis and reports to present leadership related to hospital and provider-based billing to encompass key indicators such as edits, denials, clean claim rates, and payer acceptance rates, measuring performance against internal and industry set KPIs for hospital and provider-based billing.

Responsibilities

• Ensure accounts are billed accurately according to payer and regulatory requirements by reviewing and creating edits based on analysis of accounts receivables, payer rejections, and denial trends.
• Provide QA to leadership and assist in the development of job aids for training and education.
• Prepare analysis and reports to present leadership related to hospital and provider-based billing to encompass key indicators such as edits, denials, clean claim rates, and payer acceptance rates, measuring performance against internal and industry set KPIs for hospital and provider-based billing.
• Work closely with IT to review and test system upgrades, edits, and changes applied to various systems affecting claims data.
• May have additional duties assigned that are within scope of the role.

Requirements

• High School diploma or equivalent required. Degree preferred.
• Minimum 5 years’ hospital business office experience required.
• Knowledge of Payer, Governmental, and Provider based billing regulatory requirements required.
• Must have PC and Billing system experience.
• Knowledge of coding rules and requirements preferred.
• CPAR certification preferred.

Qualifications

• Excellent knowledge of MS Office and familiarity with relevant computer software.
• Detail oriented and able to translate payer requirements into system configuration and workflow.
• Strong team leadership skills, strong organization, interpersonal, and customer relations skills.
• Must be able to meet strict deadlines.
• Strong analytical and problem-solving ability, and excellent organizational skills.
• Ability to complete multiple tasks simultaneously.
• Able to remain calm in difficult situations.
• Strong written and oral communication skills, proficient computer skills, proven track record of successful performance.
• Able to understand complex multifactor situations and bring appropriate solutions.
• Able to work both independently and in a team environment.
• Knowledge of ICD-9, ICD-10, and CPT coding.

Skills

• Detail oriented
• Strong team leadership skills
• Strong organization, interpersonal, and customer relations skills
• Ability to meet strict deadlines
• Strong analytical and problem-solving ability
• Excellent organizational skills
• Ability to complete multiple tasks simultaneously
• Able to remain calm in difficult situations
• Strong written and oral communication skills
• Proficient computer skills
• Proven track record of successful performance
• Able to understand complex multifactor situations
• Able to work both independently and in a team environment
• Knowledge of ICD-9, ICD-10, and CPT coding

Benefits

Not specified

Pay

TBD

Schedule

First Shift (United States of America)