Medical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01

Medical Billing Coordinator

U.M. FDSP Associates is a non-profit affiliate of the University of Maryland School of Dentistry. U.M. FDSP Associates is the organization that provides patient care focused staffing for the clinic operations so that faculty and students may provide patient care to the public.

We offer a comprehensive benefits package to support work-life balance and employee well-being. Our benefits include:

• Time Off: Generous paid vacation, sick leave, and personal days, plus 17 paid Federal holidays. Enjoy Thanksgiving Day and the Friday after Thanksgiving off, as well as a full winter break from Christmas Day through New Year's Day.
• Health Coverage: Medical, dental, and vision insurance, along with short-term and long-term disability, and life insurance options.
• Retirement: 401(k) with a competitive employer match of up to 6%.
• Work Schedule: Normal operations hours are Monday through Friday.

We prioritize flexibility, health, and financial security, creating an environment where employees can thrive both professionally and personally.

A medical billing coordinator will ensure the appropriate appointments are made for the specialty providers, verifying insurance and making sure the appropriate referrals are attached to the visits, handle pre-authorizations for physical therapy, prescriptions and radiology requests (MRI & CBCT), and ensure all pre-operative results are received prior to surgery dates.

Medical billing will include reviewing patient medical records to accurately assign standardized codes for diagnoses, procedures, and services, then submitting claims to insurance companies and patients to ensure healthcare providers receive proper payment. Key responsibilities include managing electronic records, verifying insurance, following up on denied claims, and maintaining patient data confidentiality while collaborating with both patients and insurance providers.

Key Responsibilities:

• Medical Billing:
• Preparing and submitting medical claims, ensuring correct codes have been assigned for claims and preauthorizations to insurance companies and patients for services rendered.
• Verifying necessary referrals for prescriptions, PT, and radiology needs.
• Insurance & Payment Management:
• Verifying insurance coverage, processing payments, and tracking outstanding balances working long side the business manager.
• Claim/Preauthorization AR:
• Investigating and resolving denied or partially paid claims, correcting errors, and resubmitting for payment.
• Patient Communication:
• Answering inquiries from patients regarding their bills and insurance.
• Acts as a liaison and first contact between patients and their health providers as well as with other health providers and pharmacists.
• Record Keeping:
• Maintaining organized, accurate, and confidential electronic health records (EHR).

Note: The intent of this list of primary duties is to provide a representative summary of the major duties and responsibilities of this job. Incumbents perform other related duties assigned. Specific duties and responsibilities may vary based upon departmental needs.

EDUCATION and/or EXPERIENCE:

High school diploma or general education degree (GED); two years' related experience as a medical billing specialist. Must be a Certified Medical Billing Professional

Required Knowledge / Skills / Abilities:

Essential Skills:

• Knowledge of Coding Systems: Proficiency with ICD, CPT, and HCPCS codes.
• Medical Terminology: Strong understanding of medical terms, anatomy, physiology, and treatments.
• Computer & EHR Software Proficiency: Ability to navigate electronic health record systems and coding software.
• Attention to Detail: Critical for spotting and correcting errors in patient records and claims.
• Communication Skills: Effectively communicating with patients, providers, and insurance company representatives.
• Organizational Skills: Managing and organizing patient data and documents efficiently.
• Discretion: Upholding patient privacy and complying with HIPAA regulations.

ADDITIONAL CONDITIONS OF EMPLOYMENT:

Employees in this job class may be required to receive immunization to prevent illness due to exposure to blood borne pathogens.

This job description is designed to give an outline of what job duties are expected of this position. As an outline it does not fully describe or limit the extent of the position's duties. UM FDSP Associates P.A., and its supervisors may amend the job description as it deems necessary, without advance notice. The job description is not intended to create an employment contract and should not be construed as such.