Billing Coordinator

Baptist Health

2d

About The Position

The Billing Coordinator shall be responsible to manage the billing system for the Central Business Office and Physician Business Office. The Coordinator will be responsible to ensure accounts are billed accurately according to payer and regulatory requirements by reviewing and creating edits based on analysis of accounts receivables, payer rejections, and denial trends. This individual will provide QA to leadership and assist in the development of job aids for training and education. Additionally, the Coordinator will prepare analysis and reports to present leadership related to hospital and provider-based billing to encompass key indicators such as edits, denials, clean claim rates, and payer acceptance rates, measuring performance against internal and industry set KPIs for hospital and provider-based billing. The Coordinator will be responsible to ensure accurate and timely completion of any EDI and ERA enrollments as required by payers. The Coordinator will work closely with IT to review and test system upgrades, edits, and changes applied to various systems affecting claims data. This position may have additional duties assigned that are within scope of the role.

Requirements

• High School diploma or equivalent required. Degree preferred.
• Minimum 5 years’ hospital business office experience required.
• Knowledge of Payer, Governmental, and Provider based billing regulatory requirements required.
• Must have PC and Billing system experience.
• Excellent knowledge of MS Office and familiarity with relevant computer software.
• Detail oriented and able to translate payer requirements into system configuration and workflow.
• Strong team leadership skills, strong organization, interpersonal, and customer relations skills.
• Must be able to meet strict deadlines.
• Strong analytical and problem-solving ability, and excellent organizational skills.
• Must be able to complete multiple tasks simultaneously.
• Ability to remain calm in difficult situations.
• Strong written and oral communication skills, proficient computer skills, proven track record of successful performance.
• Ability to understand complex multifactor situations and bring appropriate solutions.
• Ability to work both independently and in a team environment.
• Knowledge of ICD-9, ICD-10, and CPT coding.

Nice To Haves

• Knowledge of coding rules and requirements preferred.
• CPAR certification preferred

Responsibilities

• Manage the billing system for the Central Business Office and Physician Business Office.
• Ensure accounts are billed accurately according to payer and regulatory requirements by reviewing and creating edits based on analysis of accounts receivables, payer rejections, and denial trends.
• Provide QA to leadership and assist in the development of job aids for training and education.
• Prepare analysis and reports to present leadership related to hospital and provider-based billing to encompass key indicators such as edits, denials, clean claim rates, and payer acceptance rates, measuring performance against internal and industry set KPIs for hospital and provider-based billing.
• Ensure accurate and timely completion of any EDI and ERA enrollments as required by payers.
• Work closely with IT to review and test system upgrades, edits, and changes applied to various systems affecting claims data.
• Additional duties assigned that are within scope of the role.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED