Billing Coordinator

Tenethealth.com; Tucson (AZ); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental/vision insurance

401(k) with employer match

Paid time off

HSA/FSAs

Job summary

Tenet Physician Resources is seeking an experienced billing professional to support Tucson-area clinicians with charge entry, claims processing, and KPI-driven revenue cycle activities. The role involves liaising with the RCM vendor and practice operations to ensure timely billing, accurate reports, and adherence to budget targets.

The ideal candidate has 5+ years in large medical billing settings, with a track record of meeting turnaround times and escalating issues to leadership as needed.

Qualifications

• 5 years minimum in a large medical practice or billing company, handling charge entry, claims processing, and claim edits/corrections.
• Experience with KPI tracking, budget variance reporting, and vendor coordination is required or preferred.
• Proven ability to liaise between practice operations and RCM vendor partners.

Responsibilities

• Ensure clinicians’ charges are entered and billed in the Practice Management System daily.
• Act as liaison between the RCM vendor and practice/operations teams.
• Run and monitor daily charge reports; ensure charges balance and units are correct.
• Escalate errors to vendor or practice within KPI timeframes.
• Collaborate with vendor on unbilled claims and escalate when needed.
• Run daily activity reports; compare to budget targets and report variances.
• Communicate budget variances to RCM leadership.
• Assist practices with questions on claims pre- and post-billing.
• Ensure timely claim completion and escalate delinquent claims.
• Work with RCM vendor on credit balances applied to charges.
• Monitor unbilled claims and coordinate resolution.
• Produce reports for management and finance upon request.
• Compare monthly actual charges to budget and report shortfalls.

Skills

Charge entry

Claims processing

Rejections & edits handling

Budget reporting / KPI reporting

Vendor liaison

Education

High school diploma or GED

Billing or coding program (preferred)

Job description

REMOTE but looking for applicants in Arizona for face to face occasionally

Coordinates and supports the billing functions for assigned clinicians, across multiple practices and specialties. Works with the RCM vendor partner on daily revenue specific job functions, budget targets and all other responsibilities as assigned job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.

• Ensures all clinicians’ charges are completed in timely manner and billed into the Practice Management System daily.
• Works as the liaison between the Revenue Cycle Management (RCM) vendor and the operations teams within their assigned practices and/or clinicians.
• Runs and monitors the daily charge reports and assures that charges balance and units are correct.
• Escalates errors to the vendor partner or practice for resolution within the key performance indicator (KPI) time frames.
• Works with the vendor on any claims that are not billed and escalates to RCM leadership and operations leadership for claims that are not meeting the established KPI.
• Runs the daily activity report and reviews vs. budget targets.
• Notifies RCM leadership on budget variances.
• Works with practices if vendor has questions on claims for both pre and post billing.
• Ensures that established turnaround times for claim completion and billing are met or delinquent claims are escalated to RCM and operations leadership.
• Works with RCM vendor on credit balances that should be applied to charge line items.
• Monitors all unbilled claims and works with the vendor and/or practice to resolve.
• Run reports as requested by management teams or finance.
• Compares monthly actual charges to budget and prepares reports detailing any budget shortfalls.

Education

• Required: High school diploma/GED
• Preferred: Completion of billing or coding program

Experience

• Required: 5 years of minimum experience working in large medical practice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit/correction processes

#LI-KK1

Tucson Physician Group Holdings LLC, also known as Carondelet Medical Group, is one of Tucson's premier destinations for primary care and multispecialty services. Our comprehensive offerings include high-quality care in cardiology, orthopedics, neurology, neurosurgery and urology. Our services are designed to meet and exceed the medical needs of our patients. With over a dozen convenient locations in and around Tucson, we make quality healthcare easily accessible to patients and their loved ones.

Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community.

At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status