Billing Coordinator - Claims & Reimbursement Specialist

FirstHealth of the Carolinas, Inc.; Pinehurst (NC); On-site; USD 42,000 - 66,000; Full time

Job summary

FirstHealth of the Carolinas, Inc. seeks a Billing Coordinator to initiate contact with payers and resolve outstanding claims for services rendered.

The role focuses on full and timely reimbursement while maintaining clean accounts receivable in line with payer rules and organizational policies. The ideal candidate will have 3–5 years of medical billing experience, familiarity with EPIC, and knowledge of HIPPS, CPT, and ICD-10 coding.

Qualifications

• High school diploma or equivalent is required.
• Associate degree is preferred.
• 3–5 years of medical billing or reimbursement experience is preferred.
• Experience in Home Health and Hospice billing is preferred.
• Proficiency in EPIC software is preferred.
• Knowledge of HIPPS, CPT, and ICD-10 coding is important.
• Understanding of insurance reimbursement guidelines.
• Excellent interpersonal, written, and verbal communication skills are essential.
• Strong organizational and time management abilities are required.
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) is expected.

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.

Skills

HIPPS/CPT/ICD-10

Insurance guidelines

Interpersonal skills

Organizational skills

Attention to detail

Education

High school diploma or equivalent

Associate degree preferred

Tools

EPIC software

MS Office Suite

Job description

FirstHealth of the Carolinas, Inc. seeks a Billing Coordinator to initiate contact with payers and resolve outstanding claims for services rendered.

The role focuses on full and timely reimbursement while maintaining clean accounts receivable in line with payer rules and organizational policies. The ideal candidate will have 3–5 years of medical billing experience, familiarity with EPIC, and knowledge of HIPPS, CPT, and ICD-10 coding.