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Title

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Medical Billing Coordinator

Description

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We are looking for a dedicated and detail-oriented Medical Billing Coordinator to join our healthcare team. The ideal candidate will be responsible for managing and coordinating all aspects of the medical billing process, ensuring that claims are submitted accurately and in a timely manner. This role requires a thorough understanding of medical billing procedures, insurance policies, and regulatory requirements. The Medical Billing Coordinator will work closely with healthcare providers, insurance companies, and patients to resolve billing issues and ensure that payments are received promptly. Key responsibilities include verifying patient insurance coverage, preparing and submitting claims, following up on unpaid claims, and addressing any discrepancies or denials. The successful candidate will possess excellent communication and organizational skills, as well as the ability to work independently and as part of a team. A strong background in medical billing and coding, along with proficiency in billing software and electronic health records (EHR) systems, is essential. This position offers an opportunity to contribute to the financial health of our organization while providing valuable support to our patients and healthcare providers.

Responsibilities

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  • Verify patient insurance coverage and eligibility.
  • Prepare and submit accurate medical claims to insurance companies.
  • Follow up on unpaid or denied claims to ensure timely resolution.
  • Address and resolve billing discrepancies and issues.
  • Communicate with healthcare providers, insurance companies, and patients regarding billing inquiries.
  • Maintain accurate and up-to-date patient billing records.
  • Ensure compliance with all regulatory requirements and billing guidelines.
  • Assist with the development and implementation of billing policies and procedures.
  • Provide training and support to staff on billing processes and software.
  • Generate and analyze billing reports to identify trends and areas for improvement.
  • Collaborate with the finance department to reconcile accounts and ensure accurate financial reporting.
  • Handle patient billing inquiries and provide excellent customer service.
  • Stay current with changes in billing regulations and industry best practices.
  • Assist with audits and reviews of billing processes and records.
  • Manage and prioritize multiple billing tasks and deadlines.
  • Ensure the confidentiality and security of patient information.
  • Participate in team meetings and contribute to process improvement initiatives.
  • Monitor and report on key performance indicators related to billing.
  • Coordinate with other departments to ensure seamless billing operations.
  • Perform other related duties as assigned.

Requirements

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  • High school diploma or equivalent; associate's or bachelor's degree preferred.
  • Certification in medical billing and coding (e.g., CPC, CCS) is highly desirable.
  • Minimum of 2-3 years of experience in medical billing or a related field.
  • Proficiency in medical billing software and electronic health records (EHR) systems.
  • Strong understanding of medical billing procedures, insurance policies, and regulatory requirements.
  • Excellent communication and interpersonal skills.
  • Strong organizational and time management skills.
  • Attention to detail and accuracy in billing processes.
  • Ability to work independently and as part of a team.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
  • Ability to handle sensitive and confidential information with discretion.
  • Strong problem-solving and analytical skills.
  • Ability to manage multiple tasks and meet deadlines.
  • Customer service-oriented with a focus on patient satisfaction.
  • Knowledge of medical terminology and coding (ICD-10, CPT, HCPCS).
  • Experience with insurance claim submission and follow-up.
  • Ability to adapt to changes in billing regulations and procedures.
  • Strong work ethic and commitment to continuous learning.
  • Ability to work in a fast-paced and dynamic environment.
  • Experience with billing audits and compliance reviews is a plus.

Potential interview questions

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  • Can you describe your experience with medical billing and coding?
  • How do you ensure accuracy in your billing processes?
  • What billing software and EHR systems are you proficient in?
  • How do you handle denied or unpaid claims?
  • Can you provide an example of a time you resolved a billing discrepancy?
  • How do you stay current with changes in billing regulations?
  • Describe a situation where you had to communicate complex billing information to a patient.
  • How do you prioritize multiple billing tasks and deadlines?
  • What steps do you take to ensure patient information confidentiality?
  • How do you handle billing inquiries from patients or insurance companies?
  • Can you describe your experience with insurance claim submission and follow-up?
  • How do you approach training staff on billing processes and software?
  • What strategies do you use to improve billing efficiency and accuracy?
  • Describe a time when you identified and addressed a billing process improvement opportunity.
  • How do you collaborate with other departments to ensure seamless billing operations?
  • What key performance indicators do you monitor in your billing role?
  • How do you handle stress and pressure in a fast-paced billing environment?
  • Can you describe your experience with billing audits and compliance reviews?
  • What motivates you to work in the medical billing field?
  • How do you ensure excellent customer service in your billing interactions?