medical billing coordinator

HEARTLAND FERTILITY

Position Description:The focus of this role is to perform billing and collection activities related to follow-up and account resolution, and includes respectful communication to patients, clients, reimbursement vendors, and other external entities while adhering to all Positive Recovery, state, and federal guidelines.Essential Functions:&sect; Obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.&sect; Use collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.&sect; Handle inbound patient and/or carrier calls promptly and professionally by providing assistance and resolution to account inquiries, issues and requests.&sect; Perform research and analysis of account issues and strive to resolve problems timely and accurately.&sect; Promote positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.&sect; You will act as a liaison and administer contracts in collection of third-party accounts.&sect; Cross-train in various departments allowing familiarity with all aspects of patient accounting functions as they relate to collections.&sect;Obtain authorizations for patients in treatments and provide insurance benefits through financial counseling.&sect; Perform other duties as assigned.Minimum Qualifications:&sect; Two (2) year minimum healthcare experience with collection required.&sect; Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.&sect; Possess excellent customer service skills and ability to effectively communicate through verbal and digital communications.&sect; Proficient using Microsoft Office Suite and Outlook, with previous experience using an electronic health record program.Job Type: Full-timeEducation:<ul><li>High school or equivalent (Required)</li></ul>Experience:<ul><li>ICD-10: 1 year (Required)</li><li>Medical billing and collections: 2 years (Required)</li></ul>Work Location: One locationJob Type: Full-timePay: From $21.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing Coordinator

Hand and Shoulder Center

Billing &amp; Collections Coordinator (Part-Time, 32 Hours/Week) Schedule: Tuesday &ndash; Friday Location: 6001 Stonewood Drive, Wexford, PA 15090 In-person (no remote)Overview: Seeking a detail-oriented Billing &amp; Collections Coordinator to manage physician and out-of-facility billing, follow-up, and collections. This role is responsible for timely claim submission, denial resolution, and driving reimbursement.Key Responsibilities:<ul><li>Submit and rebill claims (UB-04 &amp; CMS-1500)</li><li>Follow up on outstanding claims and resolve denials</li><li>Maintain patient accounts and open dates of service</li><li>Monitor A/R aging and prioritize collections efforts</li><li>Track high-balance accounts and reimbursement status</li><li>Document all billing activity and meet productivity goals</li></ul>Requirements:<ul><li>Medical billing experience (claims, denials, follow-up)</li><li>Knowledge of UB-04 and CMS-1500 forms</li><li>Understanding of A/R aging and collections workflows</li><li>Strong organizational and communication skills</li><li>Proficiency in Microsoft Excel</li><li>Ability to manage high-volume workload independently</li></ul>Preferred:<ul><li>Workers&rsquo; compensation billing experience</li><li>Coding knowledge</li></ul>Benefits:<ul><li>Flexible schedule</li><li>Paid time off</li></ul>We are an equal opportunity employer and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.Benefits:<ul><li>Flexible schedule</li><li>Paid time off</li></ul>Application Question(s):<ul><li>What are your pay expectations?</li><li>Are you ok with working 32 hours per week (part-time)?</li></ul>Ability to Commute:<ul><li>Wexford, PA 15090 (Preferred)</li></ul>Work Location: In person

Billing and Collections Coordinator

CLS Health

<div>
 
 Description
 
 
 
 
 About CLS Health
 
 
 
 CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!
 
 
 
 Job Summary
 
 
 
 The Billing Coordinator is responsible for accurately entering and updating billing information into a CLS Health database or billing system. The primary responsibility is to ensure that all billing data is entered correctly and efficiently into the billing system, enabling timely and accurate processing of healthcare claims. This role supports the revenue cycle management team and plays a crucial role in optimizing the billing and collections process.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Process and manage all medical billing for healthcare services, ensuring accuracy and compliance with payer policies and regulations.
 </li>
 <li>
 Input detailed billing codes (CPT, ICD-10, etc.) for healthcare services rendered.
 </li>
 <li>
 Ensure all billing practices adhere to industry regulations, including HIPAA, and CLS Health&rsquo;s internal policies and procedures.
 </li>
 <li>
 Generate regular billing and accounts receivable reports for the Billing Manager and senior leadership, tracking outstanding balances and payment trends.
 </li>
 <li>
 Maintain organized and up-to-date billing records and documentation.
 </li>
 <li>
 Answer incoming phone calls related to billing inquiries from patients, providers, and insurance companies.
 </li>
 <li>
 Assist with internal and external audits by providing necessary documentation and information.
 </li>
 <li>
 Work closely with other departments, including clinical teams and customer service, to ensure smooth billing processes and address any patient-related billing issues.
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 401(k)
 </li>
 <li>
 401(k) matching
 </li>
 <li>
 Dental Insurance
 </li>
 <li>
 Disability insurance
 </li>
 <li>
 Health insurance
 </li>
 <li>
 Life insurance
 </li>
 <li>
 Paid time off
 </li>
 <li>
 Vision insurance
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 High school diploma or equivalent required.
 </li>
 <li>
 1+ years medical billing experience
 </li>
 <li>
 Strong attention to detail and organizational skills.
 </li>
 <li>
 Ability to type 30 wpm
 </li>
 <li>
 Strong knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and payer requirements.
 </li>
 <li>
 Advanced skills in Microsoft Office Suite (especially Excel) for reporting and data management.
 </li>
 <li>
 Physical Requirements: Comfortable with prolonged periods of sitting and computer use.
 </li>
 </ul>
</div>

Billing Coordinator I

Reach for the Top Therapy Services

Are you ready to make a difference in our community and watch your expertise positively impact children and families with complex needs? Do you enjoy being part of a dynamic team in a fast-paced environment? Are you a life-long learner that values opportunities for growth? If so, then being the billing and insurance coordinator for our program might be your next career move. This position is vital to the success and growth of our clinic.Reach for the Top Therapy Services is an outpatient pediatric rehabilitation facility in Dover NH. We are seeking the right candidate to serve as the billing and insurance coordinator for our fast-paced clinic serving children birth through twenty-one.The billing and insurance coordinator must possess excellent critical thinking and interpersonal customer service skills and the ability to demonstrate high-level problem-solving skills to capitalize on maximizing schedule outcomes and family satisfaction.The best candidate will have 3 years of customer service experience, in a clinical health care environment; at least 1 year of hands-on experience with scheduling in a medical setting.Additional Benefits<ul><li>Generous Paid Time Off Package</li><li>6 Paid Holidays (NYD, Memorial Day, 4 of July, Labor Day, Thanksgiving, Christmas)</li><li>Flexible Schedule Options including: Ability to build your own schedule including work from home as outlined within Reach&rsquo;s policy (i.e. due to illness or weather), flex hours within same week to decrease PTO usage</li><li>PTO buy back annually of up to 20 hours</li><li>Mentorship provided immediately upon hire</li><li>Anthem Health Insurance Plan with $4,000 employer contribution</li><li>Dental Insurance with employer contribution</li><li>Company Sponsored Life Insurance Policy</li><li>Short-Term Disability</li><li>401K with 1% match</li><li>Parental leave package</li><li>We are a 501c3; eligible for federal Non-Profit Student Loan Forgiveness</li><li>Weekly mentoring and professional development training provided at all levels</li></ul>MAJOR DUTIES AND RESPONSIBILITIES:1. Obtaining insurance authorization for both Allied Health and Behavioral Health services2. Verifying commercial insurance and Medicaid policies3. Overseeing &amp; following up on all insurance issues4. Addressing all denials in coordination with the Biller5. Obtaining all MD scripts and referrals as needed6. Oversee follow up on all referrals7. Oversee collection of co-pays and patient balances completed weekly for prompt revenue recovery8. Oversee accounts are accurate and send monthly patient payment bills (collaborate with biller as needed)9. Collaborate with Director of Operations, by updating collections spreadsheet weekly to ensure timely collections of past due accounts10. Open and distribute the mail11. Log and secure all incoming checks12. Strong communication within the administrative team in collaboration with the Director of Operations to ensure delegation for the effective and efficient functioning of the clinic13. Maintaining prior authorization spread sheet and sending reminders to clinicians when they are due14. Overseeing and addressing all faxes15. Ensuring all patient demographic, claims, &amp; payment information is accurate and updated as necessary16. &amp; any other responsibilities necessary to ensure the effective and efficient functioning of the clinicMINOR DUTIES AND RESPONSIBILITIES17. Making and receiving phone calls as needed throughout the day18. Assist Scheduling Coordinator in checking phone messages and informing the appropriate party19. Assist administrative team in making patient charts as needed20. Assist Scheduling Coordinator with scheduling patients &amp; coverage as needed21. Assist in monitoring cancellations and rescheduling patients as needed22. Assisting in the cleanliness of the clinic and administrative space23. &amp; any other responsibilities necessary to ensure the effective and efficient functioning of the clinicQualifications and Education RequirementsAssociate degree or equivalent with a minimum of 3 years of experienceExperience&middot; Medical insurance experience&middot; Office administration experience&middot; Rehab office experience preferred&middot; Knowledge of billing and codingKey competencies&middot; Computer skills&middot; EMR experience&middot; Working with insurance companies&middot; Working with families and childrenQualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.All applicants must have reliable transportation to work and have a demonstrated history of reliability in prior employment. Any candidate who is offered a position will be required to submit to a background check.Website: https://reachftt.org/Job Type: Full-timePay: $22.00 - $26.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Referral program</li><li>Retirement plan</li><li>Vision insurance</li></ul>Ability to Commute:<ul><li>Dover, NH 03820 (Preferred)</li></ul>Work Location: In person

Billing and Insurance Coordinator

The Sleep Center of Southern California

Job Overview We are seeking a dedicated and detail-oriented Infusion Coordinator (Authorization &amp; Care Coordination Specialist) to join our healthcare team. The ideal candidate will possess a strong understanding of medical billing, insurance processes, and patient care coordination. This role is vital in ensuring seamless authorization processes, accurate medical documentation, and effective communication between patients, providers, and insurance companies. The successful candidate will demonstrate exceptional organizational skills, a comprehensive knowledge of healthcare regulations, and a proactive approach to patient advocacy and care management.Responsibilities<ul><li>Obtain prior authorizations from insurance providers for infusion therapies and related treatments, ensuring timely approval for patient care.</li><li>Coordinate with healthcare providers to gather necessary documentation, including medical records and treatment plans, to support authorization requests.</li><li>Verify patient insurance coverage and benefits accurately, including managed care plans, to facilitate smooth billing and reimbursement processes.</li><li>Maintain detailed and compliant medical records in accordance with HIPAA regulations to protect patient confidentiality.</li><li>Utilize medical coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure accurate billing and documentation.</li><li>Collaborate with medical offices and other healthcare facilities to streamline care coordination efforts and improve patient outcomes.</li><li>Assist in resolving insurance denials or delays by providing necessary documentation or appeals support.</li><li>Support the administrative team with office experience tasks related to medical records management, insurance verification, and appointment scheduling.</li></ul>Skills<ul><li>Strong knowledge of managed care policies, insurance verification procedures, and authorization processes.</li><li>Proficiency in medical terminology, medical coding (CPT, ICD-9/10), and familiarity with medical records management.</li><li>Experience working within a healthcare setting such as a medical or dental office environment.</li><li>Excellent organizational skills with the ability to multitask efficiently in a fast-paced environment.</li><li>Knowledge of HIPAA compliance standards to ensure patient privacy and data security.</li><li>Effective communication skills for liaising with patients, providers, insurance companies, and internal teams.</li><li>Prior experience in medical office administration or related roles is highly desirable; dental office experience is a plus. Join our team as an Infusion Coordinator (Authorization &amp; Care Coordination Specialist) to play a crucial role in delivering exceptional patient care through precise coordination, thorough documentation, and effective communication within the healthcare system!</li></ul>Pay: $21.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Infusion Coordinator (Authorization & Care Coordination Specialist)

<div>Description:

About CLS Health
CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians!
Job Summary:
The Billing Coordinator is responsible for accurately entering and updating billing information into a CLS Health database or billing system. The primary responsibility is to ensure that all billing data is entered correctly and efficiently into the billing system, enabling timely and accurate processing of healthcare claims. This role supports the revenue cycle management team and plays a crucial role in optimizing the billing and collections process.
Responsibilities:<ul><li>
Process and manage all medical billing for healthcare services, ensuring accuracy and compliance with payer policies and regulations.</li><li>
Input detailed billing codes (CPT, ICD-10, etc.) for healthcare services rendered.</li><li>
Ensure all billing practices adhere to industry regulations, including HIPAA, and CLS Health&rsquo;s internal policies and procedures.</li><li>
Generate regular billing and accounts receivable reports for the Billing Manager and senior leadership, tracking outstanding balances and payment trends.</li><li>
Maintain organized and up-to-date billing records and documentation.</li><li>
Answer incoming phone calls related to billing inquiries from patients, providers, and insurance companies.</li><li>
Assist with internal and external audits by providing necessary documentation and information.</li><li>
Work closely with other departments, including clinical teams and customer service, to ensure smooth billing processes and address any patient-related billing issues.</li></ul>
Benefits:<ul><li>
401(k)</li><li>
401(k) matching</li><li>
Dental Insurance</li><li>
Disability insurance</li><li>
Health insurance</li><li>
Life insurance</li><li>
Paid time off</li><li>
Vision insurance</li></ul>
Requirements:
<ul><li>High school diploma or equivalent required.</li><li>
1+ years medical billing experience</li><li>
Strong attention to detail and organizational skills.</li><li>
Ability to type 30 wpm</li><li>
Strong knowledge of medical terminology, coding (ICD-10, CPT, HCPCS), and payer requirements.</li><li>
Advanced skills in Microsoft Office Suite (especially Excel) for reporting and data management.</li><li>
Physical Requirements: Comfortable with prolonged periods of sitting and computer use.</li></ul></div>

AR Billing Coordinator I (Primary Care)

Empower U

<div>Department: Finance / Revenue Cycle Management 
Reports To: Chief Financial Officer 
Location: Suite E-12
Position Summary
The Billing and Coding Coordinator is responsible for supporting accurate and compliant medical billing and coding activities for Empower &ldquo;U&rdquo;, Inc., a nonprofit Federally Qualified Health Center (FQHC). This role supports the organization&rsquo;s financial sustainability and compliance with HRSA, CMS, state, and payer-specific requirements by ensuring services are properly documented, coded, and submitted in accordance with applicable guidelines.
Working collaboratively with clinical, administrative, finance teams, and external billing partners, the Coordinator focuses on upfront coding accuracy, clean claim submission, and documentation integrity across a diverse payer mix, including Medicaid, Medicare, managed care organizations, commercial insurance, and self-pay programs. This position utilizes Epic EHR workflows and supports audits, site visits, and reimbursement accuracy while denial management and appeals are handled by the organization&rsquo;s contracted billing entity (HCN).
Essential Duties and Responsibilities<div><ul><li>
Coordinate daily billing and coding operations using Epic EHR, ensuring accuracy and completeness of claims prior to submission.</li><li>
Assign and review ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer rules, and FQHC requirements.</li><li>
Ensure compliance with HRSA, CMS, HIPAA, OIG, and state regulations, including FQHC-specific billing methodologies.</li><li>
Submit clean and complete claims across multiple payer types, including Medicaid, Medicare (including managed Medicare), commercial plans, and self-pay accounts.</li><li>
Serve as a liaison with the contracted billing entity (HCN) by providing accurate coding, documentation, and claim-level information as needed to support denial resolution.</li><li>
Collaborate with providers and clinical leadership to ensure documentation supports billed services and meets medical necessity standards.</li><li>
Support internal and external audits, site visits, and reviews by providing documentation, reports, and billing data as requested.</li><li>
Identify billing and coding trends and recommend process improvements to enhance efficiency, compliance, and reimbursement accuracy.</li><li>
Assist with staff education and informal guidance related to documentation standards, coding accuracy, and Epic billing workflows, as needed.</li><li>
Generate and review billing and coding reports; communicate findings and issues to leadership as appropriate.</li><li>
Maintain strict confidentiality of all patient and organizational information.</li><li>
Perform other duties as assigned in support of departmental and organizational goals.</li></ul></div>
Required Qualifications<div><ul><li>
Associate&rsquo;s degree or equivalent combination of education and experience in Health Information Management, Health Administration, Medical Billing and Coding, or a related field.</li><li>
Active professional coding certification required, such as:<ul><li>
CPC (Certified Professional Coder)</li><li>
CCS (Certified Coding Specialist)</li><li>
RHIA (Registered Health Information Administrator) &ndash; preferred but not required</li></ul></li><li>
Minimum of 3&ndash;5 years of experience in medical billing and coding, preferably in an FQHC, nonprofit, or community health setting.</li><li>
Demonstrated experience with Epic EHR billing and coding functionality.</li><li>
Working knowledge of Medicaid, Medicare, managed care, and commercial insurance billing practices.</li></ul></div>
Preferred Knowledge, Skills, and Abilities<ul><li>
Knowledge of FQHC billing structures, reimbursement models, and compliance requirements.</li><li>
Strong analytical, organizational, and problem-solving skills.</li><li>
High level of accuracy and attention to detail.</li><li>
Ability to manage multiple priorities and deadlines in a fast-paced environment.</li><li>
Effective written and verbal communication skills.</li><li>
Ability to work independently while collaborating across departments.</li><li>
Commitment to ethical billing and coding practices and the mission of a nonprofit FQHC.</li></ul>
Work Environment and Physical Requirements<ul><li>
Office-based or hybrid work environment, as determined by organizational needs.</li><li>
Prolonged periods of sitting and computer use.</li><li>
Must be able to communicate effectively with internal staff and external payer representatives.</li></ul>
Mission Alignment
All employees of Empower &ldquo;U&rdquo;, Inc. are expected to support the organization&rsquo;s mission, values, and commitment to providing high-quality, compliant, and patient-centered care to the community we serve.<div>
Must be able to pass a Level I and Level II Background check as required (https://info.flclearinghouse.com)</div><div>
Empower U Community Health Center, is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.</div></div>

BILLING AND CODING COORDINATOR

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