Responsibilities

Under the direction of the Billing Office Manager, the Billing Coordinator is responsible for supporting the professional billing process in Grand View Medical Practices. This includes closely monitoring all outstanding accounts receivable to ensure the timely and accurate processing of all claims for services rendered to our patients.

Essential Functions:

• Possesses a thorough understanding of managed care contracts and their limitations.
• Acts as liaison between all insurance company representatives. Stays informed of third-party regulations and requirements by reading all newsletters and periodicals published by different insurance companies.
• Maintains working knowledge of CPT and ICD-10 codes.
• Responsible for the collection process, which includes evaluating and reporting delinquent accounts directly to the collection agency, as well as calling patient for overdue balances and sending collection letters.
• Makes deposits of all processed checks for the day. Responsible for checking to see if deposits from all the GVMP offices equal at the end of the month.
• Prints patient statements and submits patient claims electronically or on paper as indicated.
• Locates EOBs and receipts, as well as medical charts.
• Keeps track of problems and resolve issues.
• Processes refunds and credits for patients and insurances.
• Processes capitation checks and reports.
• Maintains a full understanding of the different insurances and how they are billed.
• Understands and submits claims via web to MA.