Billing Coordinator

Summary of Duties
Responsible for the billing, collecting, and working of accounts from all payor types, patient/residents to resolution. Completes all necessary insurance claim requirements. Follows up on unpaid claims. Handles all inquiries regarding accounts, providing satisfactory explanation of patient/resident charges and/or account status.
Essential Job Functions
Prepares billing for completeness as necessary to insurance companies. Reviews, edits, and makes necessary corrections to insurance claims before submission.
Contacts patient/resident, employer, etc. to obtain necessary information to file insurance claims.
Processes late charges and other account adjustments to bill correct claims.
Reviews and works audit trails on all outstanding accounts.
Handles follow-up of unpaid balances with insurance companies and patient/residents by use of statements, collection letters, re-bills, correspondence, or phone contact.
Collects charges not covered by insurance or makes satisfactory payment arrangements.
Reports bankruptcy and estate claims to collection attorney. Adjusts account.
Handles follow-up for outstanding balance due on past due contractual payment agreements.
Determines when account is uncollectible and reports to collection attorney.
Records and documents all activity occurring on an account.
Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors. Processes remittance rejections in accordance with established guidelines.
Processes/posts payments from patients.
Balances and audits work as required.
Investigates credit balance accounts, completes requests for processing.
Trains and assists facility personnel in computer programs used in billing office procedures as appropriately assigned.
Receives and resolves inquiry from patients, their representatives, insurance companies, and attorneys. Records, documents all discussions regarding an account.
Performs general office duties to include answering telephones, maintaining supplies, and opening daily mail. Processes return mail.
Provides organized personal support for record maintenance and office filing requirements.
Performs research of Medicare bad debts, daily census, month end and other periodic reports as requested.
Performs other job related tasks as assigned by office supervision and VP of Reimbursement.
High school diploma or equivalent required.
Minimum of one (1) year of related experience in a business office environment required.
Physical Requirements for Essential Job Functions
Must be able to work with hands and fingers throughout the workday.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.
Must be able to walk, sit and stand intermittently throughout the workday.

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