Billing Coordinator

JOB DESCRIPTION

 

Job Title:                      Billing Coordinator

 

Department:                 Billing

 

Reports To:                  Director of Billing

 

Job Summary:             The Billing Coordinator is responsible for the auditing and submission of insurance claims and seeking reimbursement from Insurance Companies and other third-party payers for services rendered.

 

Main Duties and Responsibilities:

• Auditing or scrubbing claims to ensure the following:
  • CPT & ICD-10 Codes are accurate to obtain maximum reimbursement
  • Benefits have been verified and approved by the Insurance Company
  • Approvals have been scanned into MD Logic
  • Physician documentation supports the codes being assigned
• Submitting claims to insurance companies in a timely manner
• Answering patient questions and resolving complaints relating to claims submitted
• Following-up on outstanding receivables throughout the month
• Providing valuable contribution for the Accounts Receivable Report prepared at the beginning of each month
• Posting payments to patient accounts using the EOB provided from payers
• Building relationships with Insurance Company Representatives to ensure payments are made timely and claim issues are addressed and resolved
• Any other related duties as assigned.

Skills and Qualifications

• Experience in Medical Billing and Coding/ Certified Professional Coder (CPC) Certification
• Proven experience providing excellent customer service
• Proficient in MS Office (especially Excel)
• Ability to function in a fast-paced, dynamic environment
• Good organizational skills
• Excellent communication skills
• High school diploma; further education will be a plus

 

About the Company

The vision of Oaktree Medical Center is to become a world-renowned medical facility known for high quality, holistic care, focused on family values in a safe, caring, customer service driven environment.

 

 

I have read and understand the duties required of me and will adhere to them as outlined above.

 

 

 

Employee Signature: _________________________________                Date: ___________________

 

 

 

Witness Signature: ___________________________________                Date: ___________________