healthcare billing coordinator

All Care To You, LLC

<div><p><b>About Us</b></p>
<p>
All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time as well as a 410k plan. Additional employee paid coverage options available.</p><br>
<p></p>
<p><b>
Job purpose</b></p>
<p>
The Medical Billing Coordinator ensures timely and accurate reimbursement by managing outstanding claims and collaborating with insurance carriers, providers, and billing teams. This role requires strong problem-solving skills to resolve complex billing issues and maintain compliance with industry standards. This person will be key to early detection of problems ensuring claims are processed accurately and promptly. The position plays a key role in maintaining client satisfaction, providing critical support to ensure the financial health of our clients and growth for our company. Strong written and verbal communication skills are essential for interacting with clients and insurance representatives.</p><br>
<p></p>
<p><b>
Duties and responsibilities</b></p>
<ul>
<li>Claims Management:
<ul><li>Conducts timely and accurate follow-up on professional services claims to ensure all requested information has been submitted and claims are being processed utilizing payor portals, secure chat, secure messaging, and telephone calls.</li>
<li>Identifies missing payments from the health plan and initiates tracking procedures.</li>
<li>Reviews incoming correspondence from health plans and takes appropriate action or escalates to designated team members as needed.</li>
<li>Identifies pending claims and determines next steps required to obtain reimbursement for claim.</li>
<li>Uses existing queries to review limited new denials for processing errors, appropriately assigns a status based on review, corrects any internal errors and resubmits claims as necessary.</li>
<li>Follows up with insurance carriers, providers, or other stakeholders to gather additional information or documentation required for claims resolution.</li>
<li>Monitors incoming messages from providers and responds to the provider or escalates the request to the appropriate team member.</li>
<li>Identifies claims with more complex issues and escalate them to the appropriate team member for resolution as needed.</li>
<li>Research health plan reimbursement policies and procedures, clinical guidelines, coding, and CCI edits to ensure claims are billed appropriately.</li>
<li>All other duties as assigned.</li>
</ul></li><li>Communication:
<ul><li>Communicate effectively with insurance companies, healthcare providers, and their billing staff to resolve claims issues and answer inquiries.</li>
<li>Document all interactions and updates in the claims management system.</li>
</ul></li><li>Documentation and Reporting:
<ul><li>Maintain accurate records of claim status, actions taken, and resolutions utilizing established policies and procedures.</li>
<li>Prepare and submit reports on claim follow-up activities and status updates to management as requested.</li>
</ul></li><li>Compliance:
<ul><li>Ensure all claims follow-up activities comply with company policies, industry regulations, and legal requirements.</li>
<li>Stay updated on changes in insurance policies, regulations, and industry standards.</li>
<li>Must meet quantitative production standard of working 100 &ndash; 150 claims per week.</li>
<li>Attend departmental and company meetings as required.</li>
</ul></li><li>Problem Resolution:
<ul><li>Identify and report trends which could have an overall negative impact on claim payments such as processing errors, denials, or billing issues.</li>
<li>Investigate and resolve discrepancies or issues related to claims processing and payment.</li>
<li>Work with other team members and departments ensure proper claim submission.</li>
</ul></li><li>Continuous Improvement:
<ul><li>Identify and recommend process improvements to enhance the efficiency and effectiveness of the claims follow-up process.</li>
<li>Participate in training and development opportunities to stay current with best practices and industry trends.</li></ul></li></ul><br>
<p><br>
</p><p><b>Qualifications
</b></p><ul><li>A minimum of 3 years&rsquo; experience as a medical biller or similar role.</li>
<li>Excellent technical skills including the ability to work in multiple systems simultaneously and learn new systems quickly.
<ul><li>EZ-Cap experience preferred.</li>
<li>Electronic Data Interchange (EDI) Clearinghouse (Office Ally) experience preferred.</li>
<li>Microsoft Suite &ndash; Outlook, Teams, Office365, OneNote, OneDrive, SharePoint</li>
<li>Sequel Server Management Studio</li>
<li>Confluence</li>
<li>Azure</li>
</ul></li><li>Thorough knowledge of healthcare benefits, network participation, coordination of benefits, referral and authorization requirements, and insurance follow up.</li>
<li>Working knowledge of CPT Codes, ICD-10 Codes, Modifiers, MUE, LCD, NCD, and CCI edits.</li>
<li>Must have strong time management skills, be able to multi-task, resolve problems utilizing critical thinking, be detail oriented and highly organized.</li>
<li>Ability to work in a fast-paced environment while maintaining strict confidentiality.</li>
<li>Excellent written and verbal communication skills.</li></ul><br>
<p></p>
<p><b>
Education and Additional Requirements
</b></p><ul><li>Bachelor&rsquo;s Degree (or in progress) in Business Administration or Healthcare Administration preferred; experience considered in lieu of degree.</li></ul></div>

Medical Billing Coordinator

BRAS AND HONEY LINGERIE LIMITED

<p><b>Job Overview</b><br/>We are seeking a detail-oriented and proactive Medical Billing Specialist with expertise in Durable Medical Equipment (DME) and insurance claims processing. In this vital role, you will manage the end-to-end billing cycle, ensuring accurate submission of claims, prompt follow-up on unpaid accounts, and compliance with insurance regulations. Your energy and precision will help streamline revenue cycles, improve cash flow, and enhance patient satisfaction. If you thrive in a fast-paced environment and are passionate about healthcare administration, this is your opportunity to make a meaningful impact!</p><p><b>Duties</b></p><ul><li>Prepare and submit accurate insurance claims for DME products using appropriate coding standards such as CPT (Current Procedural Terminology), ICD-9, ICD-10, DRG (Diagnosis-Related Group), and ICD coding.</li><li>Review medical records and documentation to verify the accuracy of billing information and ensure compliance with insurance policies.</li><li>Follow up on unpaid or denied claims promptly, communicating effectively with insurance companies to resolve discrepancies.</li><li>Manage medical collections by contacting patients and insurers to secure payments while maintaining professional rapport.</li><li>Maintain detailed records within Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems to track claim status, payments, and patient information.</li><li>Stay updated on changes in medical billing regulations, coding standards, and insurance policies to ensure ongoing compliance.</li><li>Collaborate with healthcare providers to clarify documentation requirements and improve billing accuracy.</li></ul><p><b>Skills</b></p><ul><li>Extensive knowledge of medical billing processes specific to DME products and insurance claims procedures.</li><li>Proficiency in CPT coding, ICD-9/ICD-10 coding, DRG classification, and ICD coding systems.</li><li>Strong understanding of medical terminology, medical records management, and healthcare documentation standards.</li><li>Experience working with EMR/EHR systems for efficient claim processing and record keeping.</li><li>Excellent communication skills for effective interactions with insurance companies, patients, and healthcare providers.</li><li>Ability to analyze complex medical bills and resolve discrepancies quickly.</li><li>Familiarity with medical collection practices and strategies for maximizing reimbursement. Join us in delivering exceptional healthcare administration services! Your dedication will support our mission to provide seamless billing experiences while ensuring compliance with industry standards. If you&rsquo;re energized by detail-oriented work in a dynamic environment, we want to hear from you!</li></ul><p>Pay: $17.75 - $30.52 per hour</p><p>Benefits:</p><ul><li>Flexible schedule</li><li>Health insurance</li></ul><p>Application Question(s):</p><ul><li>What experience do you have working with insurance claims (Medicare, Medicaid/Medi-Cal, or commercial payers)? Please describe your role.</li><li>What experience do you have working with HCPCS codes or billing for medical equipment or supplies?</li></ul><p>Experience:</p><ul><li>Medical billing: 2 years (Preferred)</li></ul><p>Work Location: Hybrid remote in San Diego, CA 92108</p>

Medical Billing Specialist – DME / Insurance Claims

Temp Experts

<div><b>Medical Biller &amp; Coder</b><br>
<b>Miami, FL</b><br>
<b>Onsite / Hybrid options available</b><br>
<b>Full-Time | Contract or Contract-to-Hire</b><br>
<br>
TempExperts is seeking an experienced <b>Medical Biller &amp; Coder</b> to support a busy healthcare organization in the <b>Miami area</b>. This role plays a critical part in ensuring accurate coding, timely billing, and efficient reimbursement across multiple payers. The ideal candidate is detail-oriented, organized, and comfortable working in a fast-paced medical environment.<br>
<br>
<b>Responsibilities</b>
<ul><li>Review, code, and submit medical claims using ICD-10, CPT, and HCPCS codes.
</li><li>Ensure accurate and timely billing for physician and/or facility services.
</li><li>Verify insurance coverage, eligibility, and benefits.
</li><li>Resolve claim rejections and denials through follow-up and appeals.
</li><li>Post payments, adjustments, and reconcile EOBs.
</li><li>Maintain compliance with HIPAA and payer regulations.
</li><li>Communicate with insurance carriers, providers, and internal teams as needed.
</li></ul><b>Qualifications</b>
<ul><li>2+ years of experience in medical billing and coding.
</li><li>Strong knowledge of ICD-10, CPT, and HCPCS coding.
</li><li>Experience working with Medicare, Medicaid, and commercial payers.
</li><li>Familiarity with EHR/EMR and medical billing systems.
</li><li>High attention to detail and strong organizational skills.
</li><li>CPC, CCS, or related certification preferred (not required).
</li></ul><b>What&rsquo;s Great About This Opportunity:</b>
<ul><li>Stable, long-term opportunity with growth potential.
</li><li>Collaborative and supportive healthcare team.
</li><li>Competitive pay based on experience.
</li><li>Exposure to multiple payers and specialties.
</li><li>Consistent schedule with work-life balance.
</li></ul><b>Pay:</b> Competitive and based on experience</div>

Medical Biller & Coder

University health San Antonio

<div><p><b>POSITION SUMMARY/RESPONSIBILITIES</b></p>
<p>Coordinates the progression of charge capture, billing, and collection functions of Transplant patients in accordance with federal and state billing and compliance guidelines as well as internal policies. Performs comprehensive investigation and verification of health insurance for transplant care, inclusive of multidisciplinary services. Verifies insurance authorizations, ensures appropriate charge capture, monitors collections, and verifies accurate payment. Responsible for the complete episode of care for all potential candidates and living donor candidates, including pre-transplant financial clearance and assessment, post-transplant follow-up, coordination of services, and maintenance services for the extent of the services provided to the patient. Interfaces with external financial entities and insurers to verify authorization for all services related to transplants. Monitors reimbursement and cash collections to ensure contracted rates are remitted</p>
<p><b>EDUCATION/EXPERIENCE</b></p>
<p>A high school degree or its equivalent is required. Bachelor&rsquo;s degree preferred. Three years increasing responsibility in administrative analysis is required. Experience in insurance and medical terminology, billing, and collections issues is preferred. Knowledge of ICD-10 and CPT coding is preferred. Related experience in healthcare or health insurance environment with a progressive understanding and user-end expertise in both patient and physician billing and registration systems is preferred</p><br>
Location: University Health - San Antonio &middot; Transplantation Programs<br>
Schedule: Full Time, Day Shift</div>

Senior Financial Counselor

Methodist Health System - NE and IA

<div><div>Why work for Nebraska Methodist Health System?<br>
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care &ndash; a culture that has and will continue to set us apart. It&rsquo;s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient&rsquo;s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.</div><div></div><div>
Job Summary:</div>
Location: Methodist Corporate Office<br>
Address: 825 S 169th St. - Omaha, NE<br>
<br>
Work Schedule: Mon - Fri, 8:00am to 4:30pm<br>
<br>
Responsible for billing, electronic claims submission, follow up and collections of patient accounts.<div></div><div>
Responsibilities:</div><div>
Essential Functions</div><div></div><div>
Electronic and Hardcopy Billing</div><ul><li>
All EDI and paper claims submitted are to be billed as needed following department and payer specific guidelines.</li><li>
Obtains appropriate EOB's through use of health system resources.</li><li>
Reviews Billing Scrubber Claim Detail Screens to ensure data is appropriate for claim submission.</li><li>
Ensure that claim corrections identified in billing scrubber are appropriately updated and documented in Source System.</li><li>
Prepares secondary and tertiary billings, manually and electronically on UB04's and/or 1500's for accurate reimbursement.</li><li>
Submits adjusted UB04/837I and/or CMS1500/837P claims according to department and payer specific guidelines.</li></ul><div></div><div>
Display Effective Communication Skills</div><ul><li>
Demonstrates active listening skills.</li><li>
Notifies and keeps leads and supervisors informed on issues identified.</li><li>
Follows telephone etiquette procedures set forth by the organization and/or individual department.</li><li>
Professional/Courteous responses when communicating with customers, health system staff and management.</li></ul><div></div><div>
Handling of Referrals</div><ul><li>
Timely and accurately handling of referrals, both regular and escalated priority from management, within department guidelines.</li><li>
Documents clearly and appropriately all referrals (including patient inquiries) in the Source System when necessary.</li><li>
If necessary, follows up with patients on final results of inquiry both timely and professionally. Notifies patient of final results of account handling in question.</li></ul><div></div><div>
Knowledge of System Applications</div><ul><li>
Demonstrates ability to learn and maintain a working knowledge on all the current health system applications.</li><li>
Identify/obtain/print medical records as necessary for resolution of denial or system edits according to department guidelines.</li></ul><div></div><div>
Auditing of Patient Accounts</div><ul><li>
Understand accounting and business principles to accurately determine the remaining balance on a given encounter.</li><li>
Upon accurately auditing encounter or visit, is able to understand and update proration to make sure dollars are allocated to the appropriate benefit orders if needed.</li><li>
Leverages all needed resources to complete an audit of an account.</li><li>
Documents audit finding and actions taken in Source System when necessary.</li></ul><div></div><div>
Claim Follow Up with Third Party Payers</div><ul><li>
Full understanding of all necessary third party billing and follow up processes based on department specifications.</li><li>
Full understanding of all necessary contract related requirements.</li><li>
Leverages payer websites and necessary tools to streamline the follow up process.</li><li>
Appropriate documentation in Source System when necessary.</li><li>
Ability to interpret correspondence assigned for accurate handling.</li></ul><div></div><div>
Special Projects and Tasks as Assigned</div><ul><li>
Completion of any assigned projects timely, accurately and to the specifications of leadership.</li><li>
Ensure Daily/Weekly/Monthly assignments are handled accurately and timely.</li></ul><div></div><div>
Maintaining Daily Workflow</div><ul><li>
Manages and maintains assigned workflow queues according to department guidelines.</li><li>
Mail/Correspondence processed and handled following departmental guidelines.</li><li>
Documents both timely and appropriately in Source System using proper documentation methods.</li><li>
Fundamental understanding of different work item, state based and exception queues within the Patient Accounting System applications.</li></ul><div></div><div>
Schedule:</div><div>
Mon - Fri, 8:00am to 4:30pm</div><div></div><div>
Job Description:</div><div>
Job Requirements</div><div></div><div>
Education</div><ul><li>
High school diploma, General Educational Development (GED) or equivalent required</li><li>
Coursework in Coding, Billing or Healthcare Management normally acquired through enrollment in a secondary education institution or online classes through the American Heath Information Management Association (AHIMA) preferred.</li></ul><div><br>
Experience</div><ul><li>
Minimum of one (1) year prior experience in healthcare third party billing and/or claims processing preferred.</li><li>
Prior exposure to UP04 and/or CMS1500 claim data normally acquired through work in a physician&rsquo;s office or other healthcare setting preferred.</li></ul><div><br>
License/Certifications</div><ul><li>
N/A</li></ul><div><br>
Skills/Knowledge/Abilities</div><ul><li>
Skill in interpreting UB04 and/or CMS1500 claim data to be able to troubleshoot claim edits and resolve payer billing requirements both timely and accurately.</li><li>
Ability to create and submit both original and corrected claims.</li><li>
Ability to audit accounts and payer explanation of benefits (EOBs) to determine appropriate action.</li><li>
Ability to use effective communication skills in order to handle patient inquires, attorneys, health system staff and payers on a professional level.</li><li>
Knowledge and understanding of accounting and business principles to enable accurate auditing of patient accounts.</li><li>
Ability to follow up with the 3rd party payers for claims and appeals submitted to ensure timely and accurate processing.</li><li>
Ability to maintain a working knowledge of multiple system applications.</li></ul><div></div><div>
Physical Requirements</div><div></div><div>
Weight Demands</div><ul><li>
Light Work - Exerting up to 20 pounds of force.</li></ul><div><br>
Physical Activity</div><ul><li>
Occasionally Performed (1%-33%):<ul><li>
Balancing</li><li>
Climbing</li><li>
Carrying</li><li>
Crawling</li><li>
Crouching</li><li>
Distinguish colors</li><li>
Kneeling</li><li>
Lifting</li><li>
Pulling/Pushing</li><li>
Reaching</li><li>
Standing</li><li>
Stooping/bending</li><li>
Twisting</li><li>
Walking</li></ul></li><li>
Frequently Performed (34%-66%):<ul><li>
Hearing</li><li>
Repetitive Motions</li><li>
Seeing/Visual</li><li>
Speaking/talking</li></ul></li><li>
Constantly Performed (67%-100%):<ul><li>
Fingering/Touching</li><li>
Grasping</li><li>
Keyboarding/typing</li><li>
Sitting</li></ul></li></ul><div><br>
Job Hazards</div><ul><li>
Not Related:<ul><li>
Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)</li><li>
Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)</li><li>
Equipment/Machinery/Tools</li><li>
Explosives (pressurized gas)</li><li>
Electrical Shock/Static</li><li>
Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)</li><li>
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)</li></ul></li><li>
Rare (1-33%):<ul><li>
Chemical agents (Toxic, Corrosive, Flammable, Latex)</li><li>
Mechanical moving parts/vibrations</li></ul></li></ul><div>
About Methodist:</div><div>
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.</div><div><br>
Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.</div></div><div></div>

Patient Billing Rep I

Curalta Foot and Ankle

<div><div><div><b>Curalta Health</b> is the largest and foremost network of podiatrists in the Northeast, focused on delivering high-quality, complete foot and ankle care. Curalta&rsquo;s providers combine decades of experience with a forward-thinking, innovative approach to treatment in order to maximize patient outcomes and experiences across all lower extremity conditions. Curalta delivers exceptional service to patients by offering best-in-class administrative support to its practices and providers.</div>
<div></div><div><div>This opportunity is for a <b>Full Time</b> <b>Medical Biller</b> in our <b>Rochelle Park, NJ</b> offices.</div>
</div>
</div><div></div><div>The Medical Biller provides administrative support to the Revenue Cycle team.<br>
<br>
<b>Essential Functions, Job Duties &amp; Responsibilities:</b></div>
<ul><li>Determine appropriate codes for charges and services incurred to assure maximum reimbursement</li>
<li>Review and prepare electronic medical bills for claim submission</li>
<li>Print and mail all manual bills ready for submission of both primary and secondary claims including attachments</li>
<li>Assist as needed with specialty billing including DME and Pathology</li>
<li>When necessary, input charges in ModMed
</li><li>Review insurance claim denials and prepare claims for resubmission</li>
<li>When necessary, log in to payer portals to check status of billed claims</li>
<li>Adhere to all HIPAA, confidentiality, and organization policies/rules</li>
<li>Maintain current knowledge of regulatory billing requirements</li>
<li>Make changes to demographic information as necessary to produce a clean claim</li>
<li>Meet or exceed productivity standards in the completion of daily assignments and accurate production</li>
<li>Service accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations</li>
<li>Other duties as assigned by supervisor</li>
</ul><div><b>Education &amp; Experience:</b></div>
<ul><li>Medical billing: 2 years (Required)</li>
<li>High school diploma or equivalent</li>
</ul><div><b>Skills and Abilities:</b></div>
<ul><li>Ability to analyze coding to ensure proper billing of claim</li>
<li>Requires accuracy and attention to detail</li>
<li>Strong communication skills and ability to collaborate across a team</li>
</ul><div><b>Physical Requirements:</b></div>
<ul><li>Prolonged periods of sitting or standing at a desk and working on a computer</li>
<li>Must be able to lift up to 15 pounds at times</li>
</ul><div><b><i>This job description may not be inclusive of all assigned duties, responsibilities or aspects of the job described, and may be amended at any time at the sole discretion of the employer.</i></b><br>
<b><i>The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable the employee with disabilities to perform the essential functions of the position, absent undue hardship.</i></b></div></div>

Medical Biller

CEDARS HEART CLINIC

<p>We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. Knowledge of insurance verification. Patient collection, patient statements. Positing Charges. Work Aging and denials..etc Cardiology experience</p><p>Job Type: Full-time</p><p>Pay: $19.00 - $28.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>ICD-10: 4 years (Preferred)</li><li>Medical billing: 5 years (Required)</li></ul><p>Work Location: In person</p>

Medical Biller/Collector

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