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Healthcare Billing Coordinator

3 months ago

Dallas, Texas, United States NuScript Systems, Inc. Full time
Job Overview

Position Summary

This is a full-time on-site position for a Healthcare Billing Coordinator. In this role, you will be integral to maintaining the financial integrity of our clients. We are looking for candidates who exhibit a strong work ethic, exceptional analytical skills, and a sincere interest in healthcare billing practices. Your duties will encompass managing communications with insurance providers, reconciling Explanation of Benefits (EOBs) and payments, safeguarding patient confidentiality, addressing claim denials, utilizing ICD-10 coding, verifying insurance details, and collaborating with both commercial and government insurance entities. Given the sensitive nature of the healthcare sector, a high level of professionalism and meticulous attention to detail is paramount.

Key Responsibilities

  • Serve as a subject matter expert to assist fellow billing team members.
  • Exhibit a comprehensive understanding of payer benefit requirements, claims status, claims submissions, insurance follow-ups, payment postings, and reconciliation processes.
  • Evaluate and determine the approval or denial of requested adjustments and refunds within established thresholds.
  • Address and resolve denied, adjusted, or underpaid claims on insurance accounts to minimize Accounts Receivable.
  • Prepare and submit both electronic and paper claims to insurance providers.
  • Work collaboratively with various clinics and providers to correct demographic inaccuracies.
  • Engage effectively with insurance companies, adjusters, and third-party payers through various communication channels.
  • Analyze insurance EOBs to confirm accurate payment for all services rendered.
  • Identify patterns and issues with different payers and recommend solutions for resolution.
  • Process and post insurance payments in a timely manner.
  • Submit insurance claims to payers promptly, ensuring compliance with regulatory standards.
  • Adhere to compliance requirements set forth by relevant state and federal agencies.
  • Meet or exceed quality and productivity benchmarks.
  • Perform additional related duties as assigned.

Required Skills

  • A minimum of 3 years' experience in medical billing, collections, or a related field.
  • Ability to adapt to process evaluations and improvements, support ongoing changes, and manage special projects alongside regular responsibilities.
  • Flexibility to adjust to changes and prioritize tasks effectively in a dynamic environment.
  • Proficiency in office management software, particularly Microsoft Office Suite.
  • Outstanding organizational and time-management capabilities.
  • Excellent written and verbal communication skills.
  • Detail-oriented with a strong problem-solving approach.
  • Ability to interpret and analyze data for reporting purposes.
  • Strong interpersonal and supervisory skills.
  • Capacity to act with discretion, tact, and professionalism in all interactions.
  • Ability to maintain accurate records and generate reports.
  • Exceptional attention to detail.

Preferred Qualifications

  • Familiarity with billing systems such as Tebra or Kareo is highly advantageous.
  • Certification as a Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) is preferred.
Company Overview

NuScript Systems, Inc. is a healthcare support services organization based in the Dallas-Fort Worth Metroplex. We specialize in delivering healthcare revenue cycle management solutions and clinical documentation services to physician practices, healthcare systems, and clinicians nationwide. Our commitment to customer satisfaction drives us to customize our solutions to meet the evolving demands of the medical industry.