Billing Coordinator

Talentify; Southern Pines (NC); Hybrid; USD 52,000 - 70,000; Full time

Job summary

Talentify is seeking a Billing Coordinator to initiate contact with payers to resolve outstanding claims and ensure timely reimbursement in line with regulations. This hybrid role involves Home Health and Hospice payer follow-up and adherence to HIPAA; after 90 days some onsite work is expected.

Key duties include pursuing unpaid or denied claims, maintaining AR, applying EPIC to track status, collaborating across departments, and documenting all billing activity to meet productivity goals.

Qualifications

• High school diploma or equivalent – required.
• Associate degree – preferred.
• 3–5 years of medical billing or reimbursement experience in a hospital or medical office – preferred.

Responsibilities

• Initiate and maintain communication with insurance payers to resolve outstanding claims.
• Ensure accurate and timely follow-up on unpaid or denied claims for Home Health and Hospice services.
• Interpret and apply payer-specific billing guidelines and government regulations.
• Maintain detailed documentation of all billing activities and payer communications.
• Collaborate with internal departments to resolve billing discrepancies and ensure accurate claim submissions.
• Monitor and manage accounts receivable for assigned payers to meet departmental goals.
• Utilize EPIC software to track, update, and manage claim status and patient account information.
• Ensure compliance with HIPAA and other regulatory requirements in all billing activities.
• Meet or exceed productivity and quality standards as defined by department leadership.

Skills

Epic software

HIPPS

CPT coding

ICD-10 coding

Insurance reimbursement guidelines

Interpersonal communication

Written communication

Verbal communication

Organization

Microsoft Office (Excel/Word/Outlook)

Education

High school diploma or equivalent

Associate degree

Tools

EPIC software

Microsoft Office

Job description

Overview

The Billing Coordinator is responsible for initiating contact with various payers to resolve outstanding claims. This role ensures full and timely reimbursement in accordance with current government and payer regulations. The Billing Coordinator plays a critical role in maintaining accounts receivable by promptly pursuing unsettled insurance accounts in alignment with organizational policies, procedures, and productivity standards. This is a hybrid position (some onsite/some remote after 90 days).

Responsibilities

• Initiate and maintain communication with insurance payers to resolve outstanding claims.
• Ensure accurate and timely follow-up on unpaid or denied claims for Home Health and Hospice services.
• Interpret and apply payer-specific billing guidelines and government regulations.
• Maintain detailed documentation of all billing activities and payer communications.
• Collaborate with internal departments to resolve billing discrepancies and ensure accurate claim submissions.
• Monitor and manage accounts receivable for assigned payers to meet departmental goals.
• Utilize EPIC software to track, update, and manage claim status and patient account information.
• Ensure compliance with HIPAA and other regulatory requirements in all billing activities.
• Meet or exceed productivity and quality standards as defined by department leadership.

Qualifications

Education:

• High school diploma or equivalent – required
• Associate degree – preferred

Experience:

• 3–5 years of medical billing or reimbursement experience in a hospital or medical office – preferred

Preferred Skills:

• Proficiency in EPIC software
• Knowledge of HIPPS, CPT, and ICD-10 coding
• Understanding of insurance reimbursement guidelines
• Excellent interpersonal, written, and verbal communication skills
• Strong organizational and time management abilities
• Proficiency in Microsoft Office Suite, especially Excel, Word, and Outlook

Education:

• High school diploma or equivalent – required
• Associate degree – preferred

Experience:

• 3–5 years of medical billing or reimbursement experience in a hospital or medical office – preferred

Preferred Skills:

• Proficiency in EPIC software
• Knowledge of HIPPS, CPT, and ICD-10 coding
• Understanding of insurance reimbursement guidelines
• Excellent interpersonal, written, and verbal communication skills
• Strong organizational and time management abilities
• Proficiency in Microsoft Office Suite, especially Excel, Word, and Outlook
• Initiate and maintain communication with insurance payers to resolve outstanding claims.
• Ensure accurate and timely follow-up on unpaid or denied claims for Home Health and Hospice services.
• Interpret and apply payer-specific billing guidelines and government regulations.
• Maintain detailed documentation of all billing activities and payer communications.
• Collaborate with internal departments to resolve billing discrepancies and ensure accurate claim submissions.
• Monitor and manage accounts receivable for assigned payers to meet departmental goals.
• Utilize EPIC software to track, update, and manage claim status and patient account information.
• Ensure compliance with HIPAA and other regulatory requirements in all billing activities.
• Meet or exceed productivity and quality standards as defined by department leadership.