Medical Biller/Financial Coordinator

Kirar Superior Healthcare•Ladson, SC

About The Position

This position is responsible for accurate medical coding, timely insurance claim submission, managing patient accounts and efficient revenue cycle management. This role works closely with providers, patients, and insurance companies to maintain compliance, maximize reimbursement, and provide excellent patient financial communication. The ideal candidate demonstrates strong analytical and communication skills, attention to detail, and a solid understanding of insurance processes to support financial integrity and patient satisfaction.

Requirements

High school diploma or equivalent (required)
Certification in medical coding (CPC, CCS, or equivalent) required
Strong attention to detail and analytical thinking
Excellent organizational and time-management skills
Professional customer service
Strong communication skills
Ability to work independently and meet deadlines
Proficiency with billing software, EMR systems, and Microsoft Office
High level of integrity, confidentiality, and ethical conduct
Calm, professional demeanor when handling billing issues or denials
Objection handling
Accountability and commitment to accuracy
Team-oriented and solution-focused approach
In-depth knowledge of medical coding standards (ICD-10, CPT, HCPCS)
Understanding of insurance plans, payer policies, and reimbursement processes
Familiarity with healthcare compliance and privacy regulations
Knowledge of denial management and appeals processes

Nice To Haves

Previous experience in medical billing and coding preferred

Responsibilities

Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes
Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines
Identify and resolve coding discrepancies in collaboration with clinical staff
Stay current with coding updates, policy changes, and industry standards
Prepare, submit, and track insurance claims in a timely manner
Monitor claim status, follow up on unpaid or denied claims, and initiate appeals when necessary
Verify patient insurance eligibility and benefits prior to billing
Post payments, adjustments, and reconcile accounts accurately
Analyze denials and underpayments to identify trends and improve reimbursement
Maintain accurate billing records and financial documentation
Manage patient accounts and balances
Work closely with front desk and clinical teams to ensure complete and accurate charge capture
Assist with audits and compliance reviews as required
Communicate effectively with insurance carriers, patients, and providers
Explain financial policies and coordinating payment arrangements
Respond to billing inquiries professionally and clearly
Educate patients on insurance coverage, billing statements, and payment responsibilities