Medical Billing Coordinator

BILLING COORDINATOR

JOB PURPOSE

The Billing Coordinator is responsible for supporting full-cycle billing and collections operations in a community oncology setting. This role ensures accurate claims submission, eligibility verification, accounts receivable (AR) follow-up, benefit investigations, denial management and patient billing inquiries, including answering phones. The Coordinator works closely with the office team, third-party vendors and patients to facilitate timely reimbursement, minimize aged AR and maintain compliance with payer and regulatory requirements.

ESSENTIAL JOB FUNCTIONS

• Answer incoming phones from patients, payers and internal staff with professionalism; triage billing and collections queries.
• Verify patient insurance eligibility, benefits, authorizations and coordinate eligibility between the office, third-party vendors and patients.
• Conduct benefit investigations, confirm coverage, plan details and patient responsibility in advance of service.
• Prepare, submit and follow up on insurance claims for oncology services, ensuring correctness of coding, modifiers, charge entry and payer requirements.
• Monitor accounts receivable, aged claims and outstanding balances; follow up with payers and patients to resolve outstanding amounts.
• Review and analyze denials and underpayments; compile denial reports, perform root-cause analysis and coordinate corrective actions with clinical and billing teams.
• Post payments, adjustments, credit transfers, and denial codes into the billing system accurately and timely.
• Generate and send patient statements; work payment plans or collections as needed consistent with organizational policy.
• Maintain detailed documentation of all billing, collections and patient interaction activities.
• Collaborate with front-office, clinical, authorizations and vendor teams to ensure smooth workflow and timely patient service.
• Participate in month-end closing tasks, AR reconciliation, key metric reporting and continuous improvement efforts within the revenue cycle.
• Maintain compliance with HIPAA, CMS, state Medicaid/Medi-Cal guidelines and payer-specific rules governing billing and collections.
• Perform other job duties and responsibilities as assigned or needed to support departmental and organizational operations.

QUALIFICATIONS AND EXPERIENCE

• High school diploma or GED required; Associate or Bachelor’s degree in healthcare administration, business, accounting, or related field preferred.
• Minimum 2-3 years of experience in medical billing, collections or AR in an outpatient or physician practice setting; oncology or specialty practice experience preferred.
• Proven skills in insurance eligibility/benefit verification, denials management, AR follow-up and account reconciliation.
• Working knowledge of CPT, ICD-10, HCPCS coding, modifiers and payer billing requirements.
• Experience with EHR or practice management systems (e.g., CureMD, etc.) strongly preferred.
• Strong customer service, telephone and interpersonal communication skills; ability to interact effectively with patients, payers and internal teams.
• Proficiency in Microsoft Office (especially Excel) and comfortable working with data, spreadsheets, reports and KPIs.
• Excellent organizational skills, attention to detail, ability to manage multiple priorities and adhere to deadlines in a fast-paced environment.
• Ability to maintain confidentiality of patient and financial information and act with professionalism and integrity.

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS

• Office environment located within clinic or administrative setting; may require some time at patient-facing front-office or billing desk.
• Frequent use of computer, telephone, billing software and other standard office equipment.
• Must be able to sit for extended periods, perform repetitive tasks such as data entry, and occasionally stand, walk, or lift light items (up to ~20 lbs).
• Fast-paced environment with frequent interruptions (phone calls, billing inquiries) and occasional overtime during month-end or audit periods.
• Requires strong focus, repeated accuracy and effective multi-tasking in a healthcare setting.
• Travel between CHOMG offices in Skypark and El Segundo as needed

DIRECT REPORTS

• None. This is an individual contributor role; the Coordinator will collaborate with billing assistants or authorization specialists but does not have formal supervisory responsibility.

Pay: $20.00 - $30.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person