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Medical Billing Coordinator

Posted: 03/05/2023

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: ? 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. Job Requirements & Qualifications: ? 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

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