Billing Coordinator
About The Position
NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing. The Billing Coordinator supports the organization with the following: Responsible for the daily billing of claims to insurance carriers based on contract requirements. Help train new employees with NextGen, contracts, and business office Policies and Procedures. Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers. Help post contractual adjustments and transfer deductibles to patient accounts. Assist with claim resubmission projects when necessary. Assist in maintaining Navicure with Waystar. Assist with reviewing accounts that have partial or under payments. Clean out daily the clearinghouse rejections and claims with errors held in the system. Post adjustments to accounts based on contractual rates and deductibles. Review accounts to determine if billed correctly. Assist other members of the team as needed.
Requirements
- Minimum Education: High School diploma or equivalent.
- Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
- Experience with Managed Care contracts, Medicare and AHCCCS.
- Basic insurance knowledge, reading patient eligibility and benefit coverage details.
- Experience with revenue cycle and reimbursement in a healthcare facility.
- Microsoft Programs, Windows, Excel, Word, and Teams.
- Internet browser knowledge (basics) for Edge or Chrome.
Nice To Haves
- Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
Responsibilities
- Responsible for the daily billing of claims to insurance carriers based on contract requirements.
- Help train new employees with NextGen, contracts, and business office Policies and Procedures.
- Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
- Help post contractual adjustments and transfer deductibles to patient accounts.
- Assist with claim resubmission projects when necessary.
- Assist in maintaining Navicure with Waystar.
- Assist with reviewing accounts that have partial or under payments.
- Clean out daily the clearinghouse rejections and claims with errors held in the system.
- Post adjustments to accounts based on contractual rates and deductibles.
- Review accounts to determine if billed correctly.
- Assist other members of the team as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
