Billing Coordinator

Guardian Home Care of NH•Londonderry, NH

About The Position

The Billing Coordinator plays a critical role in ensuring accurate, timely billing and reimbursement across multiple states. This position is responsible for managing prebilling processes, maintaining authorization accuracy, researching denied claims, and supporting payroll related billing workflows. The Billing Coordinator ensures services delivered are supported by proper authorizations, plans of care, and compliant documentation, helping maximize reimbursement while reducing administrative delays. This role requires strong attention to detail, comfort working in multiple systems, and the ability to proactively identify and resolve billing holds. The Billing Coordinator will work closely with the intake, clinical and scheduling teams to ensure services are authorized, documented, and billed accurately.

Requirements

High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Business Administration, Accounting, or related field preferred
Minimum 2 years’ experience in medical billing, healthcare revenue cycle, or related administrative healthcare role
Familiarity with the electronic health records (EHR) systems
Strong organizational and multitasking abilities
Strong communication skills with ability to collaborate across departments
Proficient in Microsoft Office Suite
Ability to adapt to a dynamic and fast-paced start-up environment
Familiarity with CPT codes, billing codes, and payer requirements

Nice To Haves

Experience working with Medicaid, VA, insurance, or managed care billing strongly preferred
Experience working in home care, home health, waiver programs, or long-term care a plus

Responsibilities

Clear all issues related to authorizations, plan of care, and miscellaneous billing holds prior to claims submission
Ensure visits are linked appropriately to authorizations and plans of care
Monitor caregiver compliance with scheduled visits and report any deviations
Support resolution of visit time adjustments and provide backup support to office team as needed
Monitor incoming authorizations and ensure accurate entry into the EMR system
Maintain up to date authorization records across assigned states
Monitor the expiration dates on authorizations as assigned
Rotate state assignments periodically to maintain familiarity across all programs
Review services for billing readiness and accuracy
Support billing and payroll processes to ensure alignment between authorized services and billed hours
Research denied claims and correct claim issues and resubmit claims in a timely manner
Monitor aging reports and follow up on outstanding balances
Maintain accurate employee records in state aggregators
Work collaboratively with Senior Operations Coordinator, VP of Operations and the rest of the office team(s)
Send outgoing faxes to provider offices when and as requested
Help to answer incoming calls to the office
Assist in any other tasks and responsibilities as assigned by the Senior Operations Coordinator or VP of Operations