Billing Coordinator
Great Plains Tribal Leaders Health•Rapid City, SD
•$22 - $27•Onsite
About The Position
Billing Coordinator handles third-party insurance billing, reviews medical information for accurate claims, collaborates with coders, and addresses denials, errors, and recurring issues to ensure proper reimbursement.
Requirements
- High school diploma or GED and one (1) year of medical billing experience.
Nice To Haves
- Experience with RPMS and EHR preferred but not required.
- Excellent verbal and written communication skills with the ability to be detail oriented
- Computer and technical skills (including Word, PowerPoint, Excel, Outlook, etc.).
Responsibilities
- Prepare, process and submit clean claims to various insurance claims according to payer guidelines and deadlines either electronically or by paper.
- Obtain knowledge on dental billing within the dental billing platform
- Obtain knowledge on pharmacy billing processes
- Obtain knowledge on Honor Every Woman program
- Obtain knowledge on Worker’s Compensation/Attorney claims
- Maintain current knowledge and understanding of each insurance payer’s rules, regulations and deadlines and apply this knowledge in daily duties and assignments
- Recognize and identify errors and communicate these to insurance payers Billing Coordinator II or III.
- Monitor and reconcile delinquent accounts.
- Documented ability to prioritize workload and meet quality and production standards.
- Effectively communicate with clearinghouse and insurance companies regarding claim status, including rejections, denials, corrections and other various issues.
- Communicate with coding department regarding coding-related denials needing correction.
- Provide appropriate third-party account status and any issues to Lead Biller or Business Office Manager.
- Responsible for daily clearinghouse reconciliation of reports and claims.
- Answer questions from patients, clerical staff, tribes, subcontractors and insurance companies.
- Perform various collection actions including contacting by phone, correcting and resubmitting claims to third party payers.
- Participate in CMS, IHS and private insurers’ educational activities as necessary.
- Conduct self in accordance with GPTLHB’s employee manual.
- Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.
- Perform other related duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
