Billing Coordinator

Advocare LLC•Vineland, NJ

About The Position

Summary/Objective: The Billing Coordinator plays a key role in supporting both the financial and clinical performance of our medical practice. This position ensures that daily patient charges are accurately reviewed and ready for submission to the Central Billing Office (CBO), while also managing quality metrics and gaps in care to optimize performance under value-based care programs. This individual serves as a vital link between clinical staff, billing teams, and management—helping to maintain compliance, streamline workflows, and enhance patient outcomes through accurate documentation and proactive quality initiatives.

Requirements

Strong understanding of CPT, ICD-10, and modifier usage.
Familiarity with payer quality programs and healthcare reporting measures.
Proficiency with electronic health records (EHR) and billing systems.
Excellent attention to detail, analytical skills, and problem-solving abilities.
Strong communication and teamwork skills.
Ability to multitask and prioritize in a busy clinical environment.
High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, billing, or related field preferred.
Minimum 2 years of experience in medical office billing, coding, or revenue cycle management preferred.
Experience working with quality measures or value-based care initiatives strongly preferred.

Responsibilities

Review and verify all daily provider charges for accuracy, completeness, and appropriate coding before submission to the Central Billing Office.
Collaborate with providers and staff to resolve discrepancies or missing documentation in a timely manner.
Ensure compliance with billing and documentation standards, payer requirements, and coding guidelines.
Monitor and track charge submission timelines to prevent billing delays.
Assist with communication between the Central Billing Office and the front office check-in staff regarding billing questions, rejected claims, or coding clarifications.
Track and follow up on patient balances ensuring timely payment.
Monitor and track quality metrics, performance measures, and patient care gaps as defined by payer programs.
Work with providers and care teams to identify patients needing follow-up for preventive care, chronic disease management, or missing quality elements.
Support documentation improvement initiatives to ensure accurate reporting of care delivered.
Prepare reports and dashboards related to quality performance, patient outreach, and incentive program progress.
Coordinate with leadership on strategies to improve outcomes and maximize value-based payment opportunities.
Serve as liaison between clinical, administrative, and billing departments.
Participate in team meetings to discuss workflow improvements, billing updates, and quality performance.
Maintain confidentiality and compliance with HIPAA and organizational policies.