Billing Coordinator - Full Time - Days

Trinity Health • Mason City, IA

7d • Hybrid

About The Position

The Billing Coordinator is responsible for coordinating and processing all home medical equipment referrals and walk-ins. This includes verifying insurance coverage, completing doctor's orders, and ensuring all necessary documentation is in place for clean claim processing. The role operates in alignment with the medical center's philosophy and policies concerning accounts receivable, public relations, and third-party relations. Key duties involve entering Protected Health Information (PHI) data into the billing software, including client demographics and billing information. The coordinator will edit and correct CMS 1500 claim forms, ensuring compliance with payer regulations and maximizing reimbursement. They will utilize available data to make decisions for claim completion, minimize unbilled claims, and provide statistical feedback to management. Communication with other departments, physicians' offices, and nursing staff is essential for clarifying billing discrepancies and obtaining medical information. The position requires flexibility in adapting to workload changes, acting as a backup for absent colleagues, and assisting in reducing backlogs. Maintaining positive working relationships and providing excellent customer service are also critical aspects of the role. This includes assisting customers politely and accurately, demonstrating good listening skills, asking clarifying questions, and accurately documenting account notes. Patient confidentiality must be maintained at all times.

Requirements

• Completion of medical terminology course or an equivalent combination of education and experience preferred.
• Demonstrated competence in a medical insurance setting for six months to one year preferred.
• Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status, race, religion, age, sexual orientation, disability or ability to pay.
• Must possess sufficient logic skills to make necessary judgment expediting work flow.
• Must be detail orientated and able to prioritize.
• Ability to understand, interpret and explain insurance benefits.
• Knowledge of medical equipment and its uses.
• Must have demonstrated competence in the use of personal computer using Windows, Excel Spreadsheets and Word.

Nice To Haves

• Associate Degree or business college courses that equate preferred.
• Ability to type 55 WPM preferred.

Responsibilities

• Enters PHI data into the billing software system, including client demographics, reimbursement and billing information.
• Edits and corrects the CMS 1500 claim form using proper data elements for each payer, ensuring correct billing units, dates of service, codes and modifiers are used.
• Ensures claims are in compliance with payer regulations.
• Performs all functions with the objective of maximizing reimbursement to MercyOne North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner.
• Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level.
• Provides Manager with statistical feedback of accounts.
• Communicates with other departments, physicians and their office staff, and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information.
• Demonstrates flexibility and adapts to changes in workload assignments.
• Acts as a backup when co-workers are absent and assists in reducing others' backlog.
• Maintains a positive working relationship with co-workers, medical staff, and personnel from other departments.
• Instructs co-workers in sales order processing procedures and assists in the orientation and training of new employees.
• Assists customers politely, promptly, and accurately.
• Demonstrates good listening skills.
• Asks clarifying questions to meet customer's needs.
• Puts account notes in appropriate software systems accurately, timely and objectively.
• Maintains patient confidentiality.

Benefits

• Education Assistance offered
• Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 20 hours per week or greater
• Competitive wages; including weekend and night differentials
• Generous paid time off program
• Retirement Savings program with employer match starting on Day 1

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree