Billing Coordinator

Coordinates and supports the billing functions for assigned clinicians, across multiple practices and specialties. Works with the RCM vendor partner on daily revenue specific job functions, budget targets and all other responsibilities as assigned job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.

Qualifications

Education

Required: High school diploma/GED

Preferred: Completion of billing or coding program

Experience

Required: 5 years of minimum experience working in large medical practice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit/correction processes

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Responsibilities

Essential Job Responsibilities:

• Ensure all clinicians’ charges are completed in a timely manner and billed into the Practice Management System daily.
• Works as the liaison between the Revenue Cycle Management (RCM) vendor and the operations teams for assigned practices.
• Runs and monitors daily charge reports to assure that charges balance and units are correct.
• Escalates errors to the vendor partner or practice for resolution within Key Performance Indicator (KPI) time frames.
• Works with the vendor on unbilled claims and escalates to RCM and operations leadership if they do not meet established KPIs.
• Runs the daily activity report and reviews results against budget targets, notifying RCM leadership of variances.
• Compares monthly actual charges to budget and prepares reports detailing any budget shortfalls.
• Works with practices and the RCM vendor on claim questions for both pre- and post-billing.
• Ensures turnaround times for claim completion are met and manages credit balances with the vendor.
• Monitors all unbilled claims and runs additional reports as requested by management teams or finance.