Medical Billing Coordinator

4 days ago


Alpharetta, United States Robert S. Smith, M.D., Inc. Full time
Job Title: Medical Billing Coordinator

Job Summary:

We are seeking a highly organized and detail-oriented Medical Billing Coordinator to join our team at Robert S. Smith, M.D., Inc. The successful candidate will oversee the medical billing activities of an external RCM service provider to ensure a high level of service for our patients.

Key Responsibilities:

  • Act as Project Coordinator for external Billing company implementation
  • Coordinate and support all Billing functions with the outsourced RCM service
  • Liaise between external Billing company and Robert S. Smith, M.D., Inc. for all related RCM business
  • Conduct weekly review of RCM reports for accuracy and efficiency of external Billing company services
  • Conduct twice yearly Billing audits of external Billing company and make recommendations
  • Have oversight over the Appeals process and contact patients with outstanding payment responsibilities
  • Oversee any credit balances and review and approve all credit issues
  • Oversee reconciliation of the credit balance
  • Update any failed or missing scanned documents for external Billing company
  • Assist in communication with any payors identified by external Billing company needing a new or revised contractual agreement
  • Oversee credit card processing (Payment processing) for any in-house credit card processing
  • Work with Business Analysts to investigate Billing issues/trends with OON payors
  • Coordinate with Insurance Data Entry staff to accommodate external Billing company requests
  • Oversee and facilitate the closure of existing external Billing software relationships

Requirements:

  • High School Diploma or Associates degree
  • Minimum of 3-5 years of experience in medical billing, preferably in an administrative or coordination role
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is preferred
  • Solid understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems
  • Familiarity with insurance claim forms, such as CMS-1500 and UB-04
  • Knowledge of HIPAA regulations and compliance requirements in medical billing
  • Experience with billing software and EHR systems, such as Epic, Meditech, or Cerner, is highly desirable
  • Strong knowledge of medical billing software and proficiency in using billing clearinghouses
  • Experience in managing and resolving complex billing issues and denials
  • Strong understanding of revenue cycle management and its impact on the financial health of healthcare organizations

What We Offer:

Robert S. Smith, M.D., Inc. offers a competitive salary and benefits package, including medical, dental, vision, life, short-term disability, and long-term disability insurance, as well as a 401(k) plan and educational assistance.

Time Commitment:

This is a full-time position, requiring a minimum of 40 hours per week.



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