General Description: The Billing Coordinator reports directly to the Billing Manager and is responsible for entering charges, posting and managing patient accounts. Responsible for submitting claims both electronically and on paper in addition to A/R following up with insurance companies. Must be proficient in ICD-10-CM and Procedural Coding

Duties and Responsibilities:

• Obtain all in-patient demographics and consult reports by facility
• Review in-patient consults for coding accuracy, enter charges and submit
• Review operative reports for coding accuracy of physician selected CPT codes
• Process patient payments and transactions by keying data and verifying accuracy of input to reports generated
• Research and respond to patient inquiries and complaints regarding billing issues and problems by telephone or in writing
• Maintain a record of patient inquiries and resolutions in the appropriate patient chart
• Establish and document payment arrangement agreements for patients
• Prepare and submit clean claims to 3rd party carriers via electronically or paper with appropriate documentation
• Verify electronic claims have been accepted by both the clearinghouse and insurance carrier
• Research and correct any claims that were not accepted and resubmit
• Follow up on submitted claims, monitor unpaid claims; resubmit as necessary
• Prepare and submit secondary claims
• Receive and process insurance and third party payments; balance daily batches and reports
• File appeals on behalf of PBS patients to insurance carriers
• Ensures strict confidentiality of financial records in accordance with HIPAA guidelines/regulations
• Participates in educational training to maintain certified educational units
• Verify insurance eligibility

Education:

• Certification as a Professional Coder preferred but not required through an accredited organization preferred (AHIMA, AAPC)

Skills/Experience:

• Proven work experience as a Medical Biller or similar role
• Knowledge of medical billing/coding required including ICD-10CM and CPT
• Knowledge of computer programs
• Knowledge of medical coding and third-party operating procedures and practices
• Skills in answering a telephone in a pleasant and helpful manner
• Ability to read, understand and follow oral and written instructions
• Ability to establish and maintain effective working relationships with patients, employees and the public

For consideration, please complete assessments and answer all questions.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Tuition reimbursement

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Hybrid work

Application Question(s):

• How many years of medical billing and coding experience do you have?

Work Location: Hybrid remote in Newtown, PA 18940