Billing Coordinator

Overview: Responsibilities:

• Initiate and maintain communication with insurance payers to resolve outstanding claims.
• Ensure accurate and timely follow-up on unpaid or denied claims.
• 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
• Experience specifically in Home Health and Hospice billing – 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