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Coordinator, Medical Billing

Manage the operational activities related to billing and credentialing of the centers and clinics to include payments, deposits, medical billing, and fee and payment collections. Interact with CMS and insurance companies to obtain verifications of the benefits, pre-authorizations, co-payment, coinsurance information, and other relevant information and provide to current and prospective patients.

Analyze and document business processes and problems. Develop solutions to enhance efficiency of the centers and clinics.

Assist with center and clinic operations (e.g., patient scheduling). Oversee and pursue the center and clinics becoming a provider for insurance plans and manage applications for practitioner credentialing. Obtain back payments. Collaborate with student assistants/volunteers to operate the clinic reception area, and other duties as assigned.

 

Education: Requires 18 months of education or training beyond high school. Certificate of Medical Billing Specialist preferred.

Experience: Requires a minimum of 2 years of customer service and medical billing experience. Familiarity with Microsoft Office required. Strong communication and organizational skills required. Knowledge of medical billing practices for the Centers for Medicare and Medicaid Services (CMS) and third-party payers preferred.  Knowledge of Workday and QuickBooks software preferred. 5 years of experience preferred.

Leadership: Responsible for directing and monitoring the work of student and/or temporary workers.

Physical Requirements: Job is physically comfortable; individual is normally seated and has discretion about walking, standing, etc.  May occasionally lift very lightweight objects.

Working Conditions: Standard working environment with possible minor inconveniences due to occasional noise, crowded working conditions and/or minor heating/cooling or ventilation problems. Near continuous use (>70% of the time) of a video display terminal.