Billing Coordinator

Responsible for billing, collecting, and working accounts from third-party payors and patients/residents to resolution. Completes necessary insurance claim requirements, follows up on unpaid claims, and responds to inquiries regarding patient/resident charges and account status.

• Reviews and prepares insurance billing for completeness and accuracy, making edits and corrections before submission.
• Contacts patients/residents, employers, and others to obtain information needed to file insurance claims.
• Processes late charges and other account adjustments.
• Reviews and works audit trails on outstanding accounts.
• Follows up on unpaid balances with insurance companies and patients/residents through statements, collection letters, re-bills, and phone calls.
• Collects charges not covered by insurance or arranges payment plans.
• Reports bankruptcy and estate claims to collection attorneys and adjusts accounts as needed.
• Follows up on past-due contractual payment agreements.
• Records and documents all account activity.
• Posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other third-party payors, and processes remittance rejections according to guidelines.
• Posts payments from patients/residents.
• Balances and audits work as required.
• Investigates credit balance accounts and completes processing requests.
• Trains and assists facility personnel on billing office computer programs as assigned.
• Receives and resolves inquiries from patients/residents, representatives, insurance companies, and attorneys, documenting account-related discussions.
• Performs general office duties including answering telephones, maintaining supplies, and processing return mail.
• Supports record maintenance and office filing requirements.
• Performs research for Medicare bad debts, daily census, month-end, and other periodic reports as requested.
• Performs other responsibilities and special projects as directed.