What are the responsibilities and job description for the Billing and Collections Coordinator position at Balance Physical Therapy & Human Performance...?
Identification Section
Position Title: Billing and Collections Coordinator
Department: Corporate
Reports to: Revenue Cycle Management Director
EEOC Class: Admin Support Worker
- FLSA Status: Non-exempt
General Summary
The Billing and Collections Coordinator is a pivotal role within the financial operations of Balance Physical Therapy and Human Performance Center, Inc. ©, responsible for managing the billing process, tracking outstanding payments, and ensuring timely and accurate collections from patients, insurance providers, and other payers. This position plays a key role in maintaining the company's financial health and supporting the revenue cycle.
Essential Job Functions
Prepare and review patient bills, insurance claims, and invoices to ensure accurate coding, documentation, and submission.
Submit claims to insurance companies and other payers, adhering to billing regulations and payer-specific guidelines.
Monitor and track outstanding accounts receivable, following up with patients and payers to secure timely payments.
Investigate and address claim denials, identify reasons for denials, and take appropriate actions to rectify and resubmit claims.
Accurately record and post payments received from patients, insurance companies, and other payers into the billing system.
Communicate with patients regarding billing inquiries, outstanding balances, payment plans, and financial assistance options.
Verify insurance coverage and benefits for patients, ensuring accurate billing and minimizing claim rejections.
Maintain organized and up-to-date records of billing and collections activities, including correspondence and payment history.
Generate and analyze reports on billing and collections performance, providing insights to management for decision-making.
Collaborate with the billing team, front desk staff, and clinical team to ensure accurate and timely billing processes.
Stay informed about healthcare billing regulations, privacy laws (HIPAA), and industry standards to ensure ethical and compliant billing practices.
Knowledge, Skills, and Abilities
Understanding of medical billing procedures, coding concepts (CPT, ICD-10), and reimbursement mechanisms.
Proficiency in accounts receivable management, collections processes, and negotiation techniques.
Familiarity with insurance verification, claim submission, and payment reconciliation procedures.
Strong communication and interpersonal skills for interacting with patients, payers, and internal teams.
Ability to identify and address billing discrepancies, denials, and payment issues.
Keen attention to detail to ensure accuracy in billing and recordkeeping.
Effective organizational skills for managing multiple accounts and tasks simultaneously.
Experience with billing software, electronic health record systems, and Microsoft Office suite.
Commitment to maintaining confidentiality and adhering to ethical billing practices.
Education and Experience
High school diploma or equivalent. Associate's or bachelor's degree in Healthcare Administration, Business, or related field preferred.
1-3 years of experience in medical billing, collections, or accounts receivable management within a healthcare setting.
Certified Billing and Coding Specialist (CBCS) certification is a plus.
Basic understanding of healthcare industry practices, insurance processes, and billing regulations.
Physical Requirements
Hearing: Adequate to perform job duties in person and over the telephone.
Speaking: must be able to communicate clearly to patients in person and over the telephone.
Vision: Visual acuity adequate to perform job duties, including visual examination of patient and reading information from printed sources and computer screens.
Other: Requires frequent lifting and carrying items weighing up to 50 pounds unassisted. Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting, and sitting, regularly throughout a regular work shift. Requires exposure to communicable diseases, bodily fluids, medical preparations, and other conditions common to a clinic environment.
Working Conditions
Normal working conditions, absent extreme factors.
Note: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required.
Benefits
-
For full-time employees, the following is available:
- Health Insurance (health, vision, and dental) 100% of premiums covered
- Accrued PTO
- Flexible scheduling
- Safe harbor 401k with 4% match
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