Program Billing Coordinator

PORT Health; Raleigh (NC); Hybrid; USD 42,000 - 66,000; Full time

Job summary

PORT Health in Raleigh, NC seeks a Program Billing Coordinator to oversee program-specific billing, verify insurance benefits, and ensure accurate claims processing. You will work with program leadership, the Finance/Claims Department, and HIT to support timely payments.

Responsibilities include reviewing billing data, resolving discrepancies, and preparing reports for program managers. The role requires 2+ years in medical billing and strong attention to detail.

Qualifications

• Minimum of a high school diploma; college coursework preferred.
• 2+ years of billing/benefits administration experience in healthcare.
• Experience with payor portals for claims management and benefits verification.
• Familiarity with EHR systems at an administrative level.
• Strong command of English and understanding of U.S. healthcare terminology.
• Ability to handle confidential financial information with discretion.

Responsibilities

• Verify client insurance benefits and eligibility; ensure coverage for services.
• Navigate payor portals to obtain benefits, submit authorizations, and track claims.
• Maintain accurate client data in the EHR for billing and claims.
• Investigate and resolve billing discrepancies with internal teams and payors.
• Review billing data for accuracy of rates, hours, services, and program details.
• Prepare financial reports for program managers and finance teams.

Skills

Attention to detail

Organizational skills

Communication skills

Confidentiality

Problem-solving

English proficiency

Billing/claims experience

Education

High School diploma or equivalent

Tools

EHR systems

Job description

**Voted Raleigh’s Best Nonprofit Organization and Raleigh’s Best Mental Health Services two years in a row!**
The Program Billing Coordinator functions primarily to oversee all aspects of program-specific billing, ensuring accuracy, efficiency, and compliance in claim processing and payment. Collaborating closely with program leadership, the Finance/Claims Department, and Health Information and Technology (HIT), this role is integral to the seamless flow of financial operations. The Program Billing Coordinator is responsible for communicating directly with clients regarding insurance benefits and service eligibility, as well as working with external payors to resolve discrepancies and facilitate timely payments. This position plays a key role in supporting the financial integrity and operation success of the program.

Essential Job Functions

• Verify client insurance benefits and eligibility: Conduct frequent checks to confirm client coverage and service eligibility, ensuring compliance with insurance requirements.
• Navigate insurance portals: Obtain benefit details, submit and monitor authorization requests, and track claim statuses to ensure timely processing.
• Maintain accurate client information in EHR: Ensure all client data is current and that accounts are configured correctly for billing and claims.
• Resolve billing issues: Investigate and resolve discrepancies in collaboration with internal departments and external stakeholders to ensure smooth billing operations.
• Review and verify billing data: Confirm the accuracy of all billing details, including rates, hours, services provided, and program-specific information.
• Prepare financial reports: Generate detailed reports for program managers and finance teams, summarizing billing activity, revenue, outstanding balances, and comparing actuals to budget projections.
• Communicate with clients and payors: Address inquiries regarding invoices, payments, authorizations, or adjustments in a timely and professional manner.
• Manage service authorizations: Prepare and submit authorization documentation in accordance with payor policies and timelines, and update authorization records and supporting documents in the EHR.
• Follows: All ESPH procedures as appropriate to position.

Work Schedule: M-F 8am-5pm; Position is Hybrid (days in office and remote from home)

Minimum Qualifications

• Education: High School diploma or equivalent required.
• Experience: At least 2 years of experience (3 years preferred) in medical billing, healthcare benefits administration, and proficient use of payor portals for claims management and benefits verification. Familiarity with EHR systems at an administrative level is essential.
• Language Proficiency: Strong command of English with a solid understanding of U.S. healthcare, billing, and claims terminology.
• Attention to Detail: Demonstrated accuracy and attention to detail in financial reporting and billing processes.
• Organizational Skills: Excellent organizational and time management abilities, with the capacity to handle multiple projects simultaneously.
• Communication Skills: Strong interpersonal and communication skills, with the ability to collaborate effectively with external payors and internal program teams.
• Confidentiality: Proven ability to handle sensitive and confidential financial information with discretion.
• Problem-Solving Abilities: Strong problem-solving skills and the ability to resolve complex billing issues efficiently.
• Current: unrestricted NC Driver’s license and valid personal vehicle insurance.