medical 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

Express Employment Professionals Tysons, VA

<div>
 <p>
  <strong>
   Job Title:
  </strong>
  Medical Billing Coordinator
 </p>
 <p>
  <strong>
   Location:
  </strong>
  Annandale, VA
 </p>
 <p>
  <strong>
   Schedule:
  </strong>
  Monday &ndash; Friday | (schedule may vary slightly) start times could be 7:30am or 8:30am - 3:30pm or 5:30pm.
 </p>
 <p>
  <br/>
 </p>
 <p>
  A
  <strong>
   specialty medical practice
  </strong>
  in the
  <strong>
   Annandale
  </strong>
  area is seeking a
  <strong>
   Medical Billing Coordinator
  </strong>
  to support its finance and billing operations. This role is responsible for ensuring accurate coding, billing, and charge entry for physician services while assisting with insurance verification and revenue cycle processes.
 </p>
 <p>
  Key Responsibilities
 </p>
 <ul>
  <li>
   Review physician documentation and assign appropriate
   <strong>
    CPT and ICD-10 codes
   </strong>
   for billing.
  </li>
  <li>
   Enter charges and billing information into the
   <strong>
    EMR/billing system
   </strong>
   accurately.
  </li>
  <li>
   Verify patient insurance eligibility and assist with patient registration as needed.
  </li>
  <li>
   Monitor patient logs and reports to ensure all billable services are captured.
  </li>
  <li>
   Assist with
   <strong>
    claim follow-up, denial resolution, and accounts receivable support
   </strong>
   .
  </li>
  <li>
   Ensure compliance with billing regulations and internal audit standards.
  </li>
  <li>
   Collaborate with billing and administrative staff to resolve coding or billing inquiries.
  </li>
  <li>
   Maintain accurate financial and billing records.
  </li>
 </ul>
 <p>
  Qualifications
 </p>
 <ul>
  <li>
   <strong>
    2+ years of medical billing or coding experience
   </strong>
   in a healthcare or medical office environment
  </li>
  <li>
   Knowledge of
   <strong>
    CPT and ICD-10 coding
   </strong>
  </li>
  <li>
   Experience with
   <strong>
    medical billing or EMR software (ECW/eClinicalWorks preferred)
   </strong>
  </li>
  <li>
   Strong attention to detail and data entry accuracy
  </li>
  <li>
   Proficiency in
   <strong>
    Microsoft Office (Excel, Word, Outlook)
   </strong>
  </li>
 </ul>
 <p>
  Education
 </p>
 <ul>
  <li>
   High School Diploma or GED required
  </li>
  <li>
   Associate&rsquo;s degree or higher in Business, Healthcare Administration, or related field preferred
  </li>
 </ul>
 <p>
  Additional Skills
 </p>
 <ul>
  <li>
   Strong analytical and problem-solving skills
  </li>
  <li>
   Ability to work independently in a fast-paced environment
  </li>
  <li>
   Excellent communication and organizational skills
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Schedule:
 </p>
 <ul>
  <li>
   8 hour shift
  </li>
  <li>
   Monday to Friday
  </li>
  <li>
   Weekends as needed
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Experience:
 </p>
 <ul>
  <li>
   Medical billing: 3 years (Preferred)
  </li>
 </ul>
 <p>
 </p>
</div>


Billing Coordinator

Lumio Dental

<div><p>The RCM Coordinator operates under the guidance of the RCM Manager. The ideal candidate will possess exceptional attention to detail, uphold the highest standards of customer service, demonstrate strong written and verbal communication skills, and have proficiency and revenue cycle management.</p>
<p><b>Core Values:</b> As an RCM coordinator at Lumio Dental, you will be expected to uphold our core values. Those core values are <b>Teamwork, Integrity, attention to detail, Continuous Improvement, and Patient Focus</b>. Lumio Dental is enthusiastic about elevating our patients' dental experience, while creating a cohesive, and enjoyable working environment. Employees at Lumio Dental agree to be patient, understanding and function as a pleasant and welcoming presence in the office, communicate effectively with doctors, and as a team. Respect patients by recognizing their rights and keep confidentiality. Lumio Dental employees must be collaborators ready to aid where needed.</p>
<p><b>Job Specific Expectations:</b></p>
<p>Claims Processing: accurately review and give claims to payers in a timely manner, ensuring adherence to payer guidelines and minimize denials.</p>
<p>Denial Management: identify, track, and address claim denials by working closely with the RCM Manager to resolve issues and resubmit claims as needed.</p>
<p>Payment posting and reconciliation: Assist in the accurate posting of payments in reconciliation of accounts, ensuring that all payments are allocated correctly, and any discrepancies are resolved.</p>
<p>Patient account management: Handle patient billing inquiries and resolve issues related to patient balances by partnering with the office coordinators, identifying accurate</p>
<p>payment posting and other account discrepancies, while maintaining an elevated level of customer service.</p>
<p>Compliance and regulatory adherence: Stay informed of and comply with relevant federal state and payer specific regulations to ensure revenue cycle processes meet all compliance standards.</p>
<p>Coordination with other departments: Collaborate with clinical front office and billing team to ensure accurate coding, billing, and account management as well as timely follow up on outstanding claims.</p>
<p>Training and development: Participate in ongoing training to remain current with changes in payer policies, coding practices, and revenue cycle management trends.</p>
<p>Process Improvement: Continuously identify areas of process improvement and collaborate with the RCM Manager to implement changes that enhance efficiency and revenue capture.</p>
<p>Documentation and record keeping: Maintain accurate and up-to-date documentation of claims payment denials and appeals for auditing and compliance purposes:</p>
<p><b>Position Requirements:</b></p>
<ul><li>High school diploma or GED needed. An associate or bachelor's degree in health administration, business or related field is preferred.</li></ul>
<ul><li>1-2 years Revenue cycle management, medical billing, or health care administration.</li></ul>
<p>Experience with claims submission denial management, and payment posting is required.</p>
<ul><li>Proficient with Microsoft Excel and General, EHR, the insurance processes, dental claim forms pay regulations basic understanding of dental terminology.</li></ul>
<ul><li>Diligence to detail, highly organized, and efficient.</li></ul>
<ul><li>Effective communication skills</li></ul>
<ul><li>Must have adequate vision to work with computer and patient information.</li></ul>
<p>This written job description may not cover all job functions related to an RCM Coordinator job functions; therefore, employees will be expected to perform within reason of additional duties assigned that are not listed in this job description when requested by management.</p>
<p>Lumio Dental is an EEO Employer, participating in the E-Verify program.</p></div>

RCM Coordinator

Leidenheimer Dental Group Inc.

<p><b>Job Summary</b><br/>We are seeking a detail-oriented and highly organized Dental Billing and Insurance Coordinator to join our dental team. The ideal candidate will possess a strong background in dental billing, insurance claims processing, and dental office operations. In this role, you will be responsible for managing patient billing procedures, verifying insurance coverage, and ensuring accurate claim submissions. This position offers an opportunity to contribute to efficient financial operations within a dynamic dental practice dedicated to exceptional patient care.</p><p><b>Duties</b></p><ul><li>Review and verify patient insurance information to confirm coverage details prior to treatment.</li><li>Prepare and submit accurate insurance claims using appropriate CDT coding standards.</li><li>Follow up on unpaid or denied claims promptly, initiating appeals or resubmissions as necessary to secure payment.</li><li>Maintain comprehensive medical records and ensure all documentation aligns with billing requirements and regulatory standards.</li><li>Collaborate with dental staff to clarify treatment plans and ensure proper coding for procedures performed.</li><li>Utilize electronic systems to manage billing data and track claim statuses.</li><li>Assist patients with billing inquiries, explaining charges clearly while providing excellent customer service.</li></ul><p><b>Experience</b></p><ul><li>Proven experience in medical billing, preferably within a dental or healthcare setting.</li><li>Strong knowledge of dental-specific coding systems such as CDT classifications, and dental terminology.</li><li>Familiarity with dental office operations, including insurance verification, claim submission, and collections processes.</li><li>Demonstrated ability to handle dental collections effectively while maintaining professionalism and confidentiality.</li><li>Excellent organizational skills with attention to detail in managing multiple claims simultaneously.</li><li>Prior experience in dental records management and understanding of healthcare compliance standards is preferred. Join our team as a Dental Billing and Insurance Coordinator to ensure seamless financial operations that support our mission of delivering outstanding dental care through precise billing practices and effective insurance management!</li></ul><p>Pay: $20.00 - $25.00 per hour</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: In person</p>

Dental Billing and Insurance Coordinator

UCP Central PA

<div>Overview:
<div><b>
Intake Coordinator, Billing Specialist</b></div><div></div><div><b><br>
Pay:</b> Negotiable based on experience</div><div><b>
Status:</b> Full-time, 37.5 hours per week
</div><div><b>Schedule:</b> Monday - Friday, 8:00 am &ndash; 4:00 pm</div><div><b>
Location:</b> Camp Hill, PA<br>
<br>
<b>What we're looking for:</b></div><ul><li>
18 years of age</li><li>
A valid driver&rsquo;s license</li><li>
Access to vehicle with valid insurance, registration, and inspection</li><li>
High School Diploma or GED required</li><li>
Associate&rsquo;s degree or technical certification within a related area preferred</li><li>
6 months to 2 years of related experience required; 2+ years preferred</li><li>
Ability to communicate, read, write, and interpret English</li><li>
Preferred: Experience with Medicaid services, HCSIS, or human service program operations</li></ul><div><b>
As an</b> <b>Intake Coordinator, Billing Specialist</b>, you&rsquo;ll support UCP Central PA&rsquo;s mission by helping individuals and families successfully begin services while ensuring accurate billing, authorizations, and system documentation. You&rsquo;ll coordinate referrals, guide families through the intake process, manage service authorizations, and support billing operations so our programs can deliver high-quality services to the people we support.</div><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Do:</b></h2><ul><li>
Coordinate referrals and guide individuals, families, and stakeholders through the intake process</li><li>
Review service plans and documentation to ensure compliance with ODP and county requirements</li><li>
Enter individuals information, authorizations, and service data into agency systems accurately</li><li>
Verify service authorizations, rates, units, and modifiers within HCSIS and internal systems</li><li>
Assist with billing support including tracking authorizations, utilization, and required documentation</li><li>
Communicate with internal teams, counties, and funding sources to resolve intake or billing issues</li><li>
Maintain organized participant records and ensure all required intake paperwork and training are completed</li></ul><div><b>
Why UCP?</b></div><br>
<div></div><ul><li>
Welcomes both entry level and experienced individuals</li><li>
Paid training and certifications including; CPR, First Aid, and Medication Administration</li><li>
Opportunities for advancement through our Pathfinder Program or within our growing organization</li><li>
Same day pay available through Tapcheck</li><li>
Comprehensive benefits may include, Medical, Dental, Vision, Retirement with Company Match, Paid Time Off (PTO), and more</li><li>
Eligible for Federal Student Loan Forgiveness</li><li>
Inclusive culture that values feedback, individuality, and employee recognition</li><li>
Refer &amp; earn $1,000</li></ul><div><b>
Join Our Team!</b></div><div>
Change lives. Including your own - <b>Apply today.</b></div><div></div><div><i><br>
UCP Central PA is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers, including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to </i><i>jobs@ucpcentralpa.org</i></div><div></div><div><i><br>
#ucpsj1300</i></div></div>

Intake Coordinator, Billing Specialist

Dental Practice Arlington

<p><b>Job Summary</b><br/>We are seeking a proactive and detail-oriented Dental Insurance Coordinator to join our dynamic dental practice team. In this vital role, you will serve as the primary liaison between patients, insurance companies, and the dental office, ensuring smooth and efficient insurance processing. Your expertise will help maximize patient benefits, streamline billing procedures, and uphold compliance with healthcare regulations such as HIPAA. If you thrive in a fast-paced environment and are passionate about delivering exceptional patient service, this opportunity is perfect for you!</p><p><b>Responsibilities</b></p><ul><li>Verify patient insurance coverage and benefits prior to appointments to ensure accurate billing and coverage details</li><li>Submit insurance claims accurately using CPT (Current Procedural Terminology) codes, ICD (International Classification of Diseases) codes, including ICD-9 and ICD-10 classifications</li><li>Review and process medical records and dental records in accordance with HIPAA regulations to maintain confidentiality and security</li><li>Manage insurance denials, appeals, and reprocessing to optimize reimbursement rates</li><li>Conduct insurance verification and eligibility checks for new and existing patients</li><li>Maintain comprehensive medical and dental records related to insurance claims and billing activities</li><li>Collaborate with office staff to ensure all coding aligns with current medical terminology and insurance requirements</li><li>Stay updated on managed care policies, insurance plan changes, and coding updates to ensure compliance and accuracy</li></ul><p><b>Experience</b></p><ul><li>Experience using Dentrix (2 Years)</li><li>Strong knowledge of managed care processes, medical coding (including CPT, ICD-9, ICD-10), and insurance verification procedures</li><li>Familiarity with HIPAA regulations related to medical records and patient confidentiality</li><li>Experience handling medical terminology, medical records management, and medical billing processes</li><li>Excellent organizational skills with the ability to manage multiple claims simultaneously</li><li>Effective communication skills for coordinating with insurance companies, patients, and team members</li></ul><p>Join us in delivering outstanding dental care by ensuring seamless insurance processes that support our patients' health journeys. Your expertise will make a meaningful difference in our practice&rsquo;s efficiency while providing exceptional service to every patient!</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Dental Insurance Coordinator

MB2 Dental

<div>Overview:<div></div><div><br>
MB2 Dental, a first-of-its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton, TX, is actively hiring a Billing Coordinator! This is an excellent opportunity to work in a highly collaborative team while independently managing multiple job tasks and responsibilities.</div><div></div><div><br>
MB2 collaborates with more than 815 Dentist Owners and supports over 820 practices across 45 states. Under the visionary leadership of our CEO, Dr. V, you will find a fulfilling career within the MB2 family right from the start. Join us today and discover why MB2 is widely recognized as an exceptional workplace that fosters professional growth and an unparalleled sense of community.</div><div></div><div><br>
We are excited to offer our team members a competitive compensation package that includes medical/dental/vision/life insurance, long and short-term disability, generous PTO, paid holidays, traditional and Roth 401(k) options, and much more!</div><div></div><div><b><br>
Primary Function</b></div><div></div><div><br>
This position will be responsible for real-time follow-up on all denials, review of open/un-paid Medicaid/Commercial claims, filing appeals and reconsiderations, and requesting additional information for assigned client offices.</div><div></div><div><b><br>
Responsibilities</b></div><ul><li>
Research and correct claim discrepancies for client offices</li><li>
Follow up on reconsiderations, resubmissions and appeals</li><li>
Complete aging reports for all offices assigned</li><li>
Directly address insurance denials received (within 3 business days)</li><li>
Communicate directly with client offices to request additional information needed for claims</li><li>
File secondary claims as needed with supporting documentation</li><li>
Creation and maintenance of online portals for Insurance companies</li><li>
Follow up and resolve all communication requests (Responses within 2 business days)</li><li>
Complete other projects as assigned</li></ul><div><b>
Qualifications</b></div><ul><li>
2+ years of dental/medical billing experience is highly preferred</li><li>
Must have a strong understanding of Medicaid/Commercial Insurance and claim processing</li><li>
Dentrix, Eagle Soft, and Open Dental software experience is preferred</li><li>
MS Excel knowledge is preferred</li><li>
Great oral/written communication skills and impressive phone etiquette</li><li>
A strong understanding of the billing and appeals process</li><li>
Ability to prioritize workload to achieve set timelines/goals</li><li>
Ability to work independently as well as with a team</li></ul><div></div><div><i><br>
MB2 Dental Solutions, LLC is an equal opportunity employer.</i></div><div></div><div><br>
INDHRM200</div>
Qualifications:<br>
<div></div>
Responsibilities:</div><div></div>

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