Overview
The Billing Coordinator is responsible for initiating contact with various payers to resolve outstanding claims. This role ensures full and timely reimbursement in accordance with current government and payer regulations. The Billing Coordinator plays a critical role in maintaining accounts receivable by promptly pursuing unsettled insurance accounts in alignment with organizational policies, procedures, and productivity standards. This is a hybrid position (some onsite/some remote after 90 days).
Responsibilities
- Initiate and maintain communication with insurance payers to resolve outstanding claims.
- Ensure accurate and timely follow-up on unpaid or denied claims for Home Health and Hospice services.
- Interpret and apply payer-specific billing guidelines and government regulations.
- Maintain detailed documentation of all billing activities and payer communications.
- Collaborate with internal departments to resolve billing discrepancies and ensure accurate claim submissions.
- Monitor and manage accounts receivable for assigned payers to meet departmental goals.
- Utilize EPIC software to track, update, and manage claim status and patient account information.
- Ensure compliance with HIPAA and other regulatory requirements in all billing activities.
- Meet or exceed productivity and quality standards as defined by department leadership.
Qualifications
Education:
- High school diploma or equivalent – required
- Associate degree – preferred
Experience:
- 3–5 years of medical billing or reimbursement experience in a hospital or medical office – preferred
Preferred Skills:
- Proficiency in EPIC software
- Knowledge of HIPPS, CPT, and ICD-10 coding
- Understanding of insurance reimbursement guidelines
- Excellent interpersonal, written, and verbal communication skills
- Strong organizational and time management abilities
- Proficiency in Microsoft Office Suite, especially Excel, Word, and Outlook
