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Billing and Eligibility Coordinator

3 months ago

Fountain Valley, United States Cancer and Blood Specialty Clinic Full time

**JOB PURPOSE**

The Billing and Eligibility Coordinator at the Cancer and Blood Specialty Clinic is responsible for managing all aspects of billing, insurance verification, and eligibility determination for patients receiving services at the clinic. The primary goal is to ensure accurate and timely billing processes, maximize revenue, and facilitate seamless financial transactions for patients undergoing treatment.

**ESSENTIAL JOB FUNCTIONS**
- Verify patient insurance coverage and eligibility for services
- Process and submit insurance claims accurately and promptly
- Coordinate with insurance companies and patients to resolve billing discrepancies and denials
- Monitor and follow up on outstanding claims to ensure timely payment
- Assist patients in understanding their insurance benefits, coverage limitations, and financial responsibilities
- Collaborate with the Finance department to reconcile billing records and resolve any discrepancies
- Maintain up-to-date knowledge of insurance regulations coding requirements, and billing procedures
- Provide excellent customer service to patients, addressing inquiries and concerns related to billing and insurance

**QUALIFICATIONS AND EXPERIENCE**
- Bachelor’s degree in healthcare administration, finance, or related field OR minimum of 2 years of experience in medical billing and insurance verification, preferably in an oncology or specialty clinic setting
- Proficiency in medical billing software and electronic health records (EHR) systems, including knowledge of Microsoft Office Suite (Word, Excel, Outlook)
- Strong understanding of insurance terminology, coding principles (ICD-10, CPT), and healthcare reimbursement practices
- Excellent communication and interpersonal skills, with the ability to interact effectively with patients, insurance representatives, and internal staff
- Detail-oriented with strong organizational and problem-solving abilities
- Knowledge of HIPAA regulations and patient privacy laws

**WORKING CONDITIONS AND PHYSICAL REQUIREMENTS**
- Work is primarily performed in an office setting within the clinic
- Requires sitting for extended periods and working at a computer workstation
- Ability to work under pressure and manage multiple tasks simultaneously

**DIRECT REPORTS**
- This position does not typically have direct reports, but may collaborate with other administrative staff within the clinic as needed.

Pay: $22.00 - $25.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

Work setting:

- Clinic
- Office

**Education**:

- Bachelor's (preferred)

**Experience**:

- Medical billing: 2 years (preferred)

Ability to Relocate:

- Fountain Valley, CA: Relocate before starting work (required)

Work Location: In person