Clinic Operations & Billing Coordinator

Tippecanoe County Government; Indiana (PA); On-site; USD 32,000 - 46,000; Full time

Job summary

Tippecanoe County Government is seeking a detail-oriented professional to maintain medical and immunization records, schedule appointments, and review related medical data. The role coordinates off-site clinics, ensures correct billing information, and supports HIPAA-compliant documentation.

The position involves assisting with insurance applications, processing payments, handling inquiries, and supporting nursing staff as needed. A high school diploma and healthcare experience are required.

Qualifications

• High school diploma or HSE with previous medical experience in Public Health or Health Sciences and medical billing.
• Must be at least 18 years of age.
• Possession of and/or ability to obtain and maintain certified Indiana Navigator with the Indiana Department of Insurance.
• Working knowledge of Department and standard office policies and procedures and ability to apply such knowledge to a variety of interrelated processes, tasks, and operations.
• Working knowledge of and ability to make practical application of state and local rules, regulations and procedures regarding health records.
• Working knowledge of standard English grammar, spelling and punctuation, and ability to communicate with client and/or potential clients for scheduling appointments.
• Working knowledge of basic bookkeeping principles, and ability to receive and receipt money, and make simple arithmetic calculations.
• Ability to provide public access to or maintain confidentiality of Department information and records according to State requirements.
• Shall comply with all employer and Department policies and work rules, including, but not limited to, attendance, safety, drug-free workplace and personal conduct and HIPAA guidelines.
• Ability to type with speed and accuracy and properly operate standard office equipment, including computer, typewriter, calculator, fax machine, copier, and telephone.
• Ability to effectively communicate orally and in writing with co-workers, other County departments, IDOH, Lafayette Transitional Housing, various therapy programs, insurance companies, and the public, including being sensitive to professional ethics, gender, cultural diversities, and disabilities.
• Ability to work alone with minimum supervision and with others in a team environment, work on several tasks at the same time and complete assignments effectively amidst frequent distractions and interruptions, often under time pressure.

Responsibilities

• Maintains and updates medical and immunization records, including scheduling appointments, and reviewing related medical records.
• Coordinates off-site medical clinics including Community Corrections, Lafayette Transitional Housing, and Medication Assisted Therapy program, ensuring that correct billing information is collected.
• Maintains Hardship Policy and forms for the Department.
• Assists patients in completing federal Health Insurance Marketplace applications or Indiana Health Coverage Program applications, such as Medicaid, the Children’s Health Insurance Program or Healthy Indiana Plan. Provides post-enrollment outreach and support as needed.
• Receives, processes, and receipts various fees, including recording payments and balancing with ledgers.
• Answers telephone and greets office visitors, providing information, takes messages, and/or refers callers to appropriate person or department.
• Periodically assists other department personnel with preparing correspondence and assists nursing division as needed.
• Maintains current knowledge on updates and guidelines for immunizations requirements.
• Reviews and contacts insurance companies regarding any discrepancy in payments as needed.
• Maintains patient confidentiality and understands and follows Health Insurance Portability and Accountability Act (HIPAA) guidelines.
• Manages claims including, following up with submitted claims, monitoring unpaid claims, initiating tracers, and resubmitting claims as necessary.
• Interprets, processes, and posts Explanation of Benefits (EOB's).
• Enters necessary information for insurance claims, such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensures claim information is complete and accurate.
• Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper form.
• Researches International Classification of Diseases (ICD) 9 diagnosis and Cognitive Processing Therapy (CPT) treatment codes from online services, and/or traditional coding references.
• Performs related duties as assigned.

Job description

Tippecanoe County Government is seeking a detail-oriented professional to maintain medical and immunization records, schedule appointments, and review related medical data. The role coordinates off-site clinics, ensures correct billing information, and supports HIPAA-compliant documentation.

The position involves assisting with insurance applications, processing payments, handling inquiries, and supporting nursing staff as needed. A high school diploma and healthcare experience are required.