Professional Billing Coordinator

Overview

The Physician Billing coordinator position is responsible for the following : editing / billing physician and clinic claims to payers for charges incurred at FirstHealth clinics, following up with payers regarding non-payment, denial and / or underpayment, ensuring that billing is compliant and accurate, managing clinic accounts receivables to ensure that we bill within payer timely-filing limits and adding documentation to accounts to reflect communication with payers. This is a hybrid position with occasional in-person requirements.

Responsibilities

• Submit and edit clinic and physician claims accurately.
• Follow up on denials, underpayments, and unpaid claims.
• Ensure billing compliance with payer guidelines.
• Manage accounts receivable and meet timely filing deadlines.
• Document payer communications in account records.

Qualifications

Education : High school graduate. Technical College or certification preferred. Five years medical billing experience is preferred (not required .)

Additional skills : Experience with practice management systems; office automation skills; extensive knowledge of CPT and ICD-10 coding and insurance reimbursement; strong interpersonal and verbal communication skills; good organizational skills. Has extensive experience communicating with patients regarding collection of patient balances and explaining balance details.