Billing and Collection Coordinator
Pediatrics and Adolescent Medicine, P.A.
Job Description
Job Description
Medical Billing and Collection Coordinator
We are seeking a detail-oriented and compassionate Billing and Collection Coordinator to join our growing healthcare team. The position plays a vital role in the preparation, submission, and follow-up of claims, helping patients understand their financial responsibilities while ensuring timely collection of outstanding balances and maintaining excellent patient relationships. This is an in-office position.
Most have previous medical billing and collections, understands insurance processes, enjoys problem-solving, and provides exceptional customer service in a professional healthcare environment.
Responsibilities
- Manage and prioritize delinquent patient accounts using aging reports.
- Contact patients by phone, email, and written correspondence regarding outstanding balances.
- Prepare and submit medical claims.
- Resubmit claims and communicate with insurance companies regarding unpaid claims.
- Review and interpret Explanation of Benefits (EOBs) for payment accuracy.
- Investigate claim denials and submit appeals when appropriate.
- Establish and monitor patient payment plans.
- Conduct payment assurance activities and monitor accounts for payment plan compliance.
- Review accounts for billing accuracy and correct claim issues as needed.
- Respond to patient billing questions and resolve account concerns with professionalism and empathy.
- Assist patients in understanding insurance coverage and financial responsibility.
- Process bankruptcy notifications according to office policy.
- Review accounts for referrals to collection agencies and make recommendations for leadership.
- Complete required account receivable reports, including high-balance and aging reports.
- Collaborate with physicians, providers, insurance companies, and internal departments to resolve billing issues.
- Maintain accurate documentation within the practice management system.
- Protect patient confidentiality by adhering to HIPAA regulations.
- Participate in staff meetings, training, and continuing education opportunities.
- Perform other duties as assigned to support the practice.
Qualifications Required
- High school diploma or equivalent.
- Minimum of 2 years of medical billing, collections, or healthcare revenue cycle experience.
- Knowledge of medical terminology, insurance billing, and reimbursement processes.
- Experience reviewing insurance EOBs and resolving claim denials.
- Strong computer skills and experience with electronic medical record (EMR) and practice management software.
- Excellent verbal and written communication skills.
- Strong customer service and conflict resolution abilities.
- Ability to prioritize multiple tasks while maintaining attention to detail.
Physical Requirements
Employees must be able to perform the essential functions of their position, with or without reasonable accommodation. This may include:
- Sitting, standing, and walking for extended periods.
- Bending, reaching, stooping, and occasional kneeling.
- Using hands and fingers for computer work, documentation, and office or clinical equipment.
- Reading printed and electronic information and observing patients and the work environment.
- Communicating effectively with patients, visitors, and coworkers in person and by telephone.
- Occasionally lifting, carrying, pushing, or pulling up to 20 pounds.
- Responding appropriately in routine and emergency situations.
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.
Why Join Our Team
Our team is committed to providing exceptional patient care while fostering a collaborative and supportive workplace. We believe every interaction matters—from the front desk to the billing office—and we're looking for someone who shares our commitment to excellent service, integrity, and teamwork.
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