Billing Coordinator

Summary of Duties

• Completes all necessary insurance claim requirements.
• Follows up on unpaid claims.
• Responds to inquiries regarding accounts, providing satisfactory explanations of patient/resident charges and/or account status.

Essential Job Functions

• Reviews and prepares insurance billing for completeness and accuracy, making necessary edits and corrections to claims prior to submission.
• Contacts patient/resident, employer, etc. to obtain necessary information to file insurance claims.
• Processes late charges and other account adjustments to patient accounts.
• Reviews and works audit trails on outstanding accounts.
• Handles follow-up of unpaid balances with insurance companies and patients/residents by use of statements, collection letters, re-bills, or phone contact.
• Collections charges not covered by insurance or makes satisfactory payment arrangements.
• Reports bankruptcy and estate claims to collection attorney and adjusts account as necessary.
• Handles follow-up for outstanding balance due on past due contractual payment agreements.
• Records and documents all activity occurring on an account.
• Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors.
• Processes remittance rejections in accordance with established guidelines.
• Processes/posts payments from patients/residents.
• Balances and audits work as required.
• Investigates credit balance accounts, completes requests for processing.
• Trains and assists facility personnel in computer programs used in billing office procedures as assigned.
• Receives and resolves inquiries from patients/residents, their representatives, insurance companies, and attorneys.
• Drafts documentation of discussions regarding an account.

Education & Experience

• High school diploma or equivalent required.
• Minimum of one (1) year of related experience in a medical business office environment required.