Billing Coordinator

Billing Coordinator

The Billing Coordinator plays a critical role in managing and overseeing the entire billing process within a healthcare setting, ensuring accuracy and timeliness in patient account management. This position is responsible for coordinating electronic and hospital billing activities, working closely with insurance providers, patients, and internal departments to resolve billing discrepancies and facilitate payments. The Billing Coordinator ensures compliance with medical insurance policies and regulations while maintaining detailed records of patient accounts and remittances. By leveraging expertise in billing software such as JD Edwards, the coordinator streamlines billing workflows and supports financial reporting. Ultimately, this role contributes to the financial health of the organization by optimizing revenue cycle management and enhancing patient satisfaction through clear and accurate billing communication.

Minimum Qualifications:

• High school diploma or equivalent; associate degree or higher in healthcare administration or related field preferred.
• Minimum of 2 years experience in medical billing or patient accounting within a hospital or healthcare environment.
• Proficiency with electronic billing systems and patient accounting software, including experience with JD Edwards.
• Strong understanding of medical insurance processes, patient billing, and remittance procedures.
• Excellent communication and organizational skills with attention to detail.

Preferred Qualifications:

• Certification in medical billing or coding (e.g., Certified Professional Biller or Certified Coding Specialist).
• Experience working with private pay accounts and complex insurance claim resolutions.
• Familiarity with healthcare compliance regulations such as HIPAA and billing best practices.
• Advanced skills in data analysis and reporting related to billing and revenue cycle management.
• Prior experience in a multi-departmental healthcare setting coordinating billing across various specialties.

Responsibilities:

• Manage and process electronic billing and hospital billing transactions accurately and efficiently.
• Coordinate patient accounting activities, including verifying insurance coverage and processing private pay accounts.
• Review and reconcile patient billing statements, ensuring all charges are correctly applied and payments are posted.
• Communicate with insurance companies and patients to resolve billing inquiries, denials, and remittance issues.
• Maintain detailed records of billing activities and generate reports to support financial audits and management decisions.

Skills:

The required skills such as electronic billing, hospital billing, and patient accounting are utilized daily to ensure that all billing transactions are processed accurately and efficiently, minimizing errors and delays. Knowledge of medical insurance and patient billing enables the coordinator to verify coverage, handle claims, and communicate effectively with insurance providers and patients to resolve issues. Proficiency with JD Edwards software supports the management of patient accounts and streamlines billing workflows, improving overall operational efficiency. Skills in remittance processing are essential for reconciling payments and maintaining accurate financial records. Preferred skills like certification and advanced data analysis enhance the ability to manage complex billing scenarios and contribute to continuous process improvements.