DESCRIPTION:

In this position, the Billing Coordinator is responsible for the coordination of all functions related to the billing of charges for both HCPS and Ambulatory Infusion Centers. The following details apply:

I. ESSENTIAL DUTIES AND RESPONSIBILITIES:

Include the following. Other duties may be assigned.

• Advanced responsibilities in generating and managing invoices, including thorough claim review, complex billing code application, detailed follow-up on outstanding accounts, and resolving billing discrepancies.
• Handling intricate billing scenarios, including multi-payer claims, bundled codes and specialty billing requirements.
• Manages the billing processes across multiple platforms for Ambulatory Infusion Center and Office Infusion Center (OIC)billing
• Develop and maintain procedures for efficient and accurate processing of encounters and billing documents to ensure timely and accurate billing of infusion services.
• Generates detailed billing reports, identifying trends, and utilizing data to improve billing efficiency and revenue cycle management.
• Investigates claim denials, identifying root causes and taking appropriate actions resolve unpaid claims and maximize reimbursement.
• Perform routine audits of billing submissions to maintain accuracy and compliance with industry standards.
• Performs all duties of a Billing Specialist.
• Coordinates the completion of special projects as assigned by management.

II. CORE DUTIES AND RESPONSIBILITIES:

All Healix, Inc. employees are expected to meet the following performance factors.

• Interacts professionally with clients and fellow employees.
• Cooperates with team members to accomplish departmental goals.
• Accepts and incorporates changes or new ideas into daily work.
• Provides service in a responsive, timely and accurate manner to both clients and fellow employees.
• Understands and adheres to policies and procedures.
• Arrives at work as scheduled and notifies supervisors in a timely manner of any absences.
• Recognizes priorities and takes action; makes productive use of time.
• Strives to resolve problems and conflicts on his/her own initiative.
• Attempts to create new ideas or new procedures working as part of a group or individually.
• As a part of your job you will receive protected health information. It is your duty to comply with HIPAA in using and disclosing that protected health information.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• EDUCATION and/or EXPERIENCE
  • One year certificate from college or technical school; or three to four years of related experience and/or training; or equivalent combination of education and experience.

• CERTIFICATES, LICENSES, REGISTRATIONS
  • This job does not require any certificates, licenses, or registrations.

• OTHER SKILLS AND ABILITIES
  • Comprehensive understanding of medical billing codes (CPT, ICD-10, HCPCS)
  • Knowledge of healthcare insurance regulations and payer guidelines.
  • Strong analytical and problem-solving skills to identify and resolve billing discrepancies.
  • Excellent attention to detail to ensure accurate billing data entry.
  • Proficient computer skills with billing software and electronic health records.
  • To perform this job successfully, an individual must be able to type at least 40 wpm and have personal computer experience.