Billing Coordinator

Crossroads Hospice & Palliative Care; Green (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k

PTO

Job summary

Crossroads Hospice & Palliative Care in Ohio is seeking a Billing Coordinator to support medical billing operations, verify eligibility, and manage claims with accuracy.

You will interact with patients and insurers, prepare and transmit claims, follow up on denials, and maintain billing software.

Qualifications

• Must have strong customer service skills for patient interactions.
• Experience researching and resolving claim discrepancies and denials.
• Familiarity with payer requirements (HMO/PPO, Medicare, Medicaid).
• Knowledge of insurance guidelines and billing processes.
• Experience in medical office setting preferred.

Responsibilities

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes

Skills

Customer service

Problem solving

Communication skills

Attention to detail

Education

High school diploma

Associate's degree in Business Administration, Accounting, or Health Care Administration preferred

Tools

Billing software

Job description

At Crossroads Hospice & Palliative Care, our office teams play a crucial role that extends beyond administrative tasks and paperwork. Every team member is an essential part of the compassionate care we provide to our patients and their families. While our caregivers deliver vital medical support, we ensure that all aspects of our patients' needs are addressed. Our relationships, founded on trust, are the cornerstone of communication within our interdisciplinary teams.

We believe that end-of-life care should never feel transactional, regardless of economic factors. Every person we care for deserves to be treated with dignity, compassion, and respect, no matter the circumstances. Together, we strive to make each moment count, providing comfort and meaning not just to the patients but also to their loved ones, who will cherish these memories forever.

Consider joining us on this journey where your dedication to exceptional work can truly make a difference in the lives of those we serve. Together, we can create lasting impacts that transcend medical treatment.

Billing Coordinator Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes

Billing Coordinator Requirements:

• High school diploma
• Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
• Minimum of 1 to 3 years of experience in a medical office setting
• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

Billing Coordinator Schedule & Benefits:

• Schedule: Monday to Friday, 8:30 AM - 5:00 PM
• Be part of a team willing to grow, listen, be heard, and be challenged.
• Health, Dental, Vision, 401k, PTO.
• Competitive industry pay.