Medical Billing Coordinator

Job Summary: The Billing Coordinator Specialist’s main responsibility is to provide timely, accurate billing records for clean claims release to a third party billing organization.

Qualifications: High School Degree required. Advanced degree preferred.

Experience: The preferred candidate will be detail oriented with a high degree of accuracy and efficiency, have, previous claims processing experience, and knowledge of medical terminology and CPT and ICD 10 code sets.

Job Skills and Requirements:

1. A clear communicator, ability to utilize medical terminology as well as insurance and billing verbiage.

2. Ability to navigate claims processing and patient accounting

3. Displays initiative, enthusiasm, diplomacy and tact

4. Exhibits high level of interest in ambulatory surgery health care billing office

5. Practices strategic thinking, organization, problem solving and prioritization

6. Orchestrate code variance process between physicians and billing office

7. Advise business office on settling of patient accounts

8. Willing and able to educate by sharing of knowledge

9. Must be able to analyze, audit, research, communicate, interpret data, support HST, and coordinate systems

Job Relationship: Report to the Operating Room Supervisor; works closely with the Billing Supervisor with Casper Orthopedics. Sits as a member on assigned committees. Must be able to function effectively with physicians, surgical guests, family members, the facility staff and the community-at-large.

Key Responsibilities:

1. Claims Processing

A. Check accuracy of daily billing packets; correct any errors

B. Scan corrected packets to billing office for timely filing

C. Work daily reports from billing office; RFI and code variance

D. Respond quickly to RFI’s

E. Pull implant records and invoices for claims listed on RFI

F. Prepare code variance paperwork for surgeons to review

G. Process Payment RFI report with solutions on listed accounts

H. Process patient refunds monthly; submit to Administration for approval.

I. Work closely with RCS team on all areas of billing, collections, errors, insurance follow-up, patient situations

2. System Maintenance

A. Maintain HST tables; add or amend when necessary

B. Interpret and document patient billing transactions

C. Identify scheduling, registration, billing transactions or case history errors that need corrected

D. Continuous auditing of all details in HST

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the role.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Ambulatory surgery center
• JCAHO accredited facility
• Private practice

Ability to Relocate:

• Casper, WY 82609: Relocate before starting work (Required)

Work Location: In person