Billing Coordinator

FirstHealth of the Carolinas, Inc.; Southern Pines (NC); Hybrid; USD 42,000 - 66,000; Full time

Job summary

FirstHealth of the Carolinas, Inc. is seeking a Billing Coordinator to manage payer communications and pursue unresolved claims to ensure timely reimbursement.

You will follow payer guidelines, maintain patient accounts in EPIC, document activities, and collaborate across departments in a hybrid role after a 90‑day onboarding. This position requires 3–5 years of medical billing experience and strong coding knowledge.

Qualifications

• 3–5 years of medical billing or reimbursement experience in a hospital or medical office.
• Proficiency in EPIC software and medical coding guidelines (HCPCS, CPT, ICD-10).
• Strong knowledge of insurance reimbursement guidelines and HIPAA compliance.
• Excellent interpersonal, written, and verbal communication skills.
• Strong organizational and time management abilities.
• MS Office suite proficiency (Excel, Word, Outlook).

Responsibilities

• Initiate and maintain communication with insurance payers to resolve claims.
• Follow up on unpaid or denied claims in a timely manner.
• Apply payer-specific billing guidelines and government regulations.
• Document all billing activities and payer communications.
• Collaborate with internal teams to resolve billing discrepancies.
• Manage accounts receivable for assigned payers to meet goals.
• Use EPIC to track and update claim status and patient accounts.
• Ensure HIPAA and regulatory compliance in all billing activities.
• Meet productivity and quality standards set by leadership.

Skills

Interpersonal communication

Written communication

Verbal communication

Organizational skills

Time management

Attention to detail

Education

High school diploma or equivalent

Associate degree (preferred)

Tools

EPIC software

Microsoft Excel

Microsoft Word

Microsoft Outlook

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.
• 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 HCPCS, 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