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Billing Coordinator

2 months ago

Huntsville, Alabama, United States Medical Practice in Madison County Full time
Job Overview

The Billing Coordinator plays a crucial role in overseeing billing inquiries and referrals within the organization, ensuring precision and adherence to healthcare regulations. This position involves managing patient accounts, processing insurance claims, and handling collections. The ideal candidate will possess a solid background in medical billing, outstanding organizational abilities, and the capacity to perform effectively under pressure.

Key Responsibilities
  • Address patient billing inquiries and resolve discrepancies in a professional manner.
  • Confirm patient insurance coverage and secure necessary pre-authorizations.
  • Monitor accounts receivable, follow up on outstanding balances, and manage collections efficiently.
  • Reconcile daily billing transactions and generate reports for management.
  • Uphold patient confidentiality and comply with HIPAA and other healthcare regulations.
  • Collaborate with clinical staff to ensure accurate coding and documentation for billing purposes.
  • Provide training and mentorship to billing staff as required, ensuring adherence to best practices.
  • Stay informed on changes in billing regulations, coding standards, and insurance policies.
  • Process and coordinate patient referrals to specialist services, ensuring timely communication.
  • Verify patient insurance coverage and obtain necessary pre-authorizations for referrals.
  • Communicate with healthcare providers to ensure all relevant information is transferred accurately.
  • Schedule appointments for patients with specialists and follow up to confirm attendance.
  • Maintain precise and current records of all referral activities in the patient management system.
  • Respond to patient inquiries regarding referral statuses and provide necessary support.
  • Monitor referral outcomes and ensure proper documentation of follow-up care.
  • Work closely with healthcare providers, office staff, and insurance companies to resolve referral-related issues.
  • Adhere to all HIPAA guidelines, ensuring patient confidentiality is maintained at all times.
  • Assist in developing and implementing policies and procedures for the referral process.
Qualifications
  • High school diploma or equivalent; Associate's or Bachelor's degree in Healthcare Administration, Accounting, or a related field preferred.
  • Minimum of 3 years of experience in medical billing, preferably within a medical practice setting.
  • Certification in medical billing or coding (e.g., CPC, CPB) is strongly preferred.
  • Strong knowledge of medical terminology, CPT, ICD-10 coding, and insurance processes.
  • Proficiency in medical billing software and Microsoft Office Suite, particularly Excel.
  • Excellent attention to detail and strong analytical skills.
  • Effective communication and interpersonal skills.
  • Ability to manage multiple tasks and work efficiently in a fast-paced environment.
  • Familiarity with EMR/EHR systems.
Benefits
  • Competitive salary based on experience.
  • Health, dental, and vision insurance.
  • 401(k) with company match.
  • Paid time off (PTO) and holidays.