What are the responsibilities and job description for the Temporary Lead Billing Coordinator position at ESPERANZA HEALTH CENTERS?
Description
This position will be for a minimum of 12 weeks with the possibility to extend at the end of 12 weeks
Compensation (Based on experience and qualifications)
Location: Western Administrative Office (1940 S. Western Ave)
Schedule: Temp. Position- Full-Time, Monday Through Friday, Morning hours work required
The Lead Billing Coordinator reports to the Revenue Cycle Manager. Administrative duties will focus primarily on overseeing the team of our Third Billing Company Visualutions. Scheduling, distributing and assigning work, monitoring work for progress and quality. Ensuring the work is completed in a timely manner. Responsibilities include, but are not limited to, posting charges for medical services, resolving claim errors, and responding to patient billing questions. The emphasis will be on the timely and efficient ability to capture, manage, and deliver collection of patient, government and commercial insurance revenue as well as the ability to provide excellent customer service when dealing with patient billing concerns and clinical and non-clinical staff members.
Primary Duties and Responsibilities: (The following duties and responsibilities are all essential job functions except for those that begin with the word “May.”)
1. Serve as primary liaison between the organization and the third-party billing company to coordinate daily billing operations and task completion.
2. Monitor and follow up on billing-related communications, including emails, voicemails, Artera messages, and payer correspondence.
3. Review and track outstanding issues and ensure timely resolution with the third-party billing company.
4. Verify insurance eligibility and benefits for selected accounts requiring further investigation or clarification.
5. Review accounts with eligibility discrepancies and coordinate corrections or rebilling as needed.
6. Ensure proper billing of VaxCare vaccines through the third-party billing company.
7. Track and follow up on payer requests, including medical record submissions.
8. Prepare and manage IBCCP reports, including account review and adjustments.
9. Review billing reports received from the third-party billing company that require internal follow-up or provider input.
10. Communicate with providers via email to obtain missing documentation or clarification related to billing reports.
11. Respond to billing-related calls from clinics and forwarded customer service inquiries.
12. Prepare billing and payer reports as requested by leadership.
13. Attend meetings related to payers, billing processes, and operational updates.
14. Support internal leadership with billing data, analysis, and process improvement efforts.
15. Assist in completion of payer/provider credentialing and enrollment task as assigned.
16. Cooperates with other personnel to achieve department objectives and maintains good employee relations.
17. Recommend modifications or enhancements to existing revenue.
18. Performs other related duties as assigned or requested.
Requirements
- A bachelor’s degree in healthcare administration, business, information systems, or equivalent combination of education and experience.
- Certification in medical coding is preferred but not required.
- A minimum of two years’ experience required in one or more of the major components of the Revenue Cycle (Patient access/registration, claims processing/ AR management, health information management/coding.
- Relevant experience in community healthcare centers will also be considered.
- Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing are a must.
- Spanish Language fluency with healthcare competency required.
- Must be well organized and self-started
- Must have strong work ethics
- Ability to communicate verbally and in writing effectively
- Ability to interact with staff and vendors in a professional manner
- Ability to meet deadlines
- Strong analytical and problem-solving skills.
- Ability to prioritize tasks and to delegate them when appropriate.
- Ability to act with integrity, professionalism, and confidentiality.
- Thorough knowledge of employment-related laws and regulations.
- Proficient with Microsoft Office Suite or related software.
- Proficiency with or the ability to quickly learn the organizations HRIS and talent management systems.