Billing Coordinator Jobs

Summary:

Coordinates and supports the billing functions for assigned clinicians, across multiple practices and specialties. Works with the RCM vendor partner on daily revenue specific job functions, budget targets and all other responsibilities as assigned job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.

Essential Job Responsibilities:

• Works with practices if vendor has questions on claims for both pre and post billing.
• Ensures all clinicians’ charges are completed in timely manner and billed into the Practice Management System daily.
• Monitors all unbilled claims and works with the vendor and/or practice to resolve.
• Run reports as requested by management teams or finance.
• Works with the vendor on any claims that are not billed and escalates to RCM leadership and operations leadership for claims that are not meeting the established KPI.
• Ensures that established turnaround times for claim completion and billing are met or delinquent claims are escalated to RCM and operations leadership.
• Notifies RCM leadership on budget variances.
• Runs the daily activity report and reviews vs. budget targets.
• Escalates errors to the vendor partner or practice for resolution within the key performance indicator (KPI) time frames.
• Works with RCM vendor on credit balances that should be applied to charge line items.
• Runs and monitors the daily charge reports and assures that charges balance and units are correct.
• Compares monthly actual charges to budget and prepares reports detailing any budget shortfalls.
• Works as the liaison between the Revenue Cycle Management (RCM) vendor and the operations teams within their assigned practices and/or clinicians.

Education

Required: High school diploma/GED

Preferred: Completion of billing or coding program

Experience

Required: 5 years of minimum experience working in large medical practice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit/correction processes

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.