Billing Coordinator III

Job Summary

The Billing Coordinator III is a senior-level billing professional responsible for managing complex billing activities, ensuring accurate invoicing, resolving billing discrepancies, and supporting revenue collection efforts. This role serves as a subject matter expert for billing processes, assists with process improvement initiatives, and may provide guidance and training to billing vendors.

Duties

· Serve as the point of escalation for billing, claim, or reimbursement issues.

· Develop and maintain written billing procedures to ensure consistency and compliance.

· Oversee full-cycle billing operations, including oversight of activities conducted by billing vendors.

· Conduct complex audits of accounts receivable, denials, and payer trends to identify opportunities for process improvement.

· Manage relationships with payer representatives, ensuring timely resolution of claim issues.

· Work with Finance department to reconcile revenue reports and ensure accurate reflection of billing data across systems.

· Ensure compliance with CPT, HCPC, and ICD-10 coding standards and payer guidelines.

· Monitor adherence to HIPAA, Medicare, Medicaid, and other regulatory requirements.

· Participate in internal and external audits, preparing supporting documentation and responding to findings.

· Generate and interpret financial and productivity reports for the leadership team.

· Analyze billing metrics (e.g., denial rates, days in A/R, reimbursement patterns) to inform strategy.

· Support annual budget preparation and assist with forecasting billing-related revenue.

· Lead or participate in revenue cycle improvement projects.

· Collaborate with leadership to update billing policies, procedures, and fee schedules.

· Evaluate and recommend enhancements to billing software and workflows.

· Coordinate with clinical, administrative, and finance teams to streamline billing communication and processes.

· Attend meetings, providing updates on billing performance, challenges, and initiatives.

Qualifications

· Associate’s or Bachelor’s degree in Business, Accounting, Healthcare Administration, or a related field preferred.

· Minimum four years of progressive experience in medical billing, including at least one year in a lead or supervisory role.

· Advanced knowledge of CPT, HCPC, ICD-10, and payer-specific billing requirements.

Skills

· Knowledge of electronic medical record systems.

· Expert knowledge of Medicare, Medicaid, and commercial payer billing processes.

· Strong leadership, communication, and training skills.

· Advanced proficiency in Microsoft Excel and reporting tools.

· High level of accuracy, analytical thinking, and problem-solving skills.

· Ability to manage multiple priorities under deadlines in a fast-paced environment.

· Commitment to confidentiality, professionalism, and team collaboration.

Pay: $22.00 - $26.00 per hour

Work Location: In person

Salary : $22 - $26