Remote Billing Coordinator III
Job Summary
The Billing Coordinator III supports end-to-end revenue cycle operations by ensuring accurate claim processing, timely resolution of billing issues, and improved reimbursement outcomes. This role combines billing execution with eligibility review and denial management to reduce errors and enhance overall revenue cycle performance in a metrics-driven environment.
Responsibilities
- Perform high-volume billing and data entry
- Process claims and resolve billing discrepancies
- Monitor claim status and follow up on accounts
- Analyze and resolve denials and rejections
- Update SOPs and provide team training
Required Skills
- 3+ years healthcare billing experience
- Insurance claims processing knowledge
- Denial and eligibility management
- Analytical and problem-solving skills
- Strong attention to detail
Job Details
Job Responsibilities:
- Perform high-volume billing data entry and complete assigned billing workflows (e.g., reporting, work queues, inventory tracking).
- Review, validate, and process claims to support accurate billing and timely reimbursement.
- Contact insurance payors to resolve claims, denials, and billing discrepancies.
- Review insurance eligibility, benefits, and coverage to support accurate claim submission and prevent errors.
- Analyze billing issues, perform root cause analysis, and resolve denials, rejections, and discrepancies.
- Monitor claim status and follow up on outstanding accounts to support timely payment.
- Track productivity and quality metrics, including error rates, volume, and case completion.
- Maintain accurate documentation and ensure compliance with payer and operational requirements.
- Develop and update SOPs and support process improvements to enhance billing accuracy and efficiency.
- Train and support team members on workflows, systems, and process updates.
Minimum Qualifications:
- High School Diploma or GED equivalent.
- 3 or more years of experience in healthcare billing, revenue cycle operations, insurance claims processing, denial resolution, or payor interaction.
- Strong understanding of billing workflows, including eligibility and denial management.
Preferred Qualifications:
- Experience with insurance claims processing and payer portal navigation.
- Knowledge of Medicare, Medicaid, and commercial insurance plans.
- Familiarity with revenue cycle systems (e.g., billing platforms, CRM tools).
- Prior experience identifying and correcting front-end errors impacting claims.
Additional Job Standards:
- Maintains accuracy and attention to detail in high-volume, data-driven environments.
- Communicates effectively with internal teams, customers, and insurance carriers.
- Works independently while meeting productivity and quality expectations.
- Applies analytical thinking to identify trends, errors, and improvement opportunities.
- Ensures compliance with company policies, payer requirements, and data security standards.
- Operates effectively in a remote environment with reliable internet and dedicated workspace.