Business Office Coordinator

Harboroaks; Philadelphia (Philadelphia County); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented professional to manage insurance verification and billing processes. This role is vital in ensuring accurate documentation and effective communication with patients and insurance carriers. You will be responsible for verifying benefits, managing claims, and resolving billing issues while adhering to privacy laws. The position offers a hybrid work model after 90 days, allowing for flexibility in your work environment. Join a dynamic team where your expertise in healthcare billing and collections will make a significant impact on operations and patient satisfaction.

Qualifications

• 3+ years of experience in billing and collections in healthcare.
• Extensive knowledge of Medicare, Medicaid, and Commercial Insurance.

Responsibilities

• Manage billing and collection processes, ensuring compliance with policies.
• Verify insurance benefits and handle medical documentation effectively.
• Participate in monthly reviews and write appeals for insurance denials.

Skills

Insurance Verification

Billing and Collections

Problem Solving

Communication Skills

Education

High School Diploma or Equivalent

Job description

Overview

PURPOSE STATEMENT:

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.

Responsibilities

Essential Functions

• Position is eligible for Hybrid / Remote model after 90 days. 3 days remote / 2 days in office
• Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems
• Verifies Medicare, Medicaid and Commercial benefits and prior authorizations
• Identifies deductible, co-insurance and co-pay due per EOBs received
• Compiles appropriate information for refunds, bad debt write-offs, and adjustments
• Types, assembles, copies, files and processes data required in an accurate and timelymanner.
• Making telephone calls, writing letters, and/or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
• Handling and interpreting medical documentation such as UB04 claim form, 1500 claim forms and EOB’s.
• Analyzing and interpreting documents, contracts, notes, and other correspondence
• Writing appeals to insurance carriers to overcome denials.
• Manage an extensive portfolio of claims by prioritizing and organizing time effectively
• Comply with privacy laws and patient’s needs.
• Overcome obstacles by using effective information gathering and problem solving methods.
• Participates in monthly AR reviews with Management Team.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.

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