Billing Coordinator

Full Time
Wilson, NC 27893
Posted
Job description

Who We Are:

People are our passion and purpose. Work where you are appreciated for who you are not just what you can do. At Wilson Medical Center, a 294-bed facility, we bring new and innovative programs to those who matter the most - our community. With great pride, we offer Growing Tree Child Care Center on-site daycare where children are offered a nurturing, safe environment centered around the needs of each child.

Where We Are:

Wilson residents enjoy a community rich in educational, cultural, and social opportunities. We are home to numerous athletic and water sports, festivals, and arts and entertainment venues. From the beach to the mountains, in Wilson, you are within easy driving distance of all that North Carolina has to offer.

Why Choose Us:

  • Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
  • Competitive Paid Time Off / Extended Illness Bank package for full-time employees
  • Employee Assistance Program – mental, physical, and financial wellness assistance
  • Tuition Reimbursement/Assistance for qualified applicants
  • Opportunities for education and training through a partnership with Duke LifePoint Healthcare
  • Growing Tree On-Site Childcare Facility
  • And much more…

Position Summary:

The Billing Coordinator is a point of contact for all revenue cycle processes and follow-up requests related to charge posting, accounts receivable, payment, and patient account activities, for both hospital clinics and PMDS. Oversee and monitor 3rd party payer processes and ensures timely communication of changes/updates to hospital clinics, PMDS, and other impacted parties.

Required Skills

  • 3-5 years of medical billing experience in a hospital-based environment.
  • Proficient with Microsoft Office Suite, computers, and medical software systems (PM/EHR).
  • Able to meet deadlines, prioritize, and have good organizational skills
  • Working knowledge of regulations, policies, and procedures
  • Excellent communication skills, both verbal and written.
  • CPC Coursework or CPC Certification a plus

Essential Functions

  • Serves as the primary point of contact for all revenue cycle processes and follow-up or requests related to charge posting, accounts receivable, payment, and patient account activities, for both hospital clinics and PMDS.
  • Provide training, feedback, and assistance to hospital clinic staff relating to pre-visit revenue cycle impacting processes, including demographic and insurance entry/information, patient TOS payment collection, eligibility verification, authorizations, and provider credentialing.
  • Oversee and perform bank/payment reconciliation/balance processes, as well as any clinic deposit and cash reconciliation processes.
  • Periodically review clinic charge posting activities for compliance and adherence to accepted practices and documented processes, as well as assist in posting hospital clinic charges where responsibility is designated.
  • Review/respond to /resolve claim scrubs, front-end denials, back-end denials, and appeals where responsibility is designated, including providing training, feedback, and assistance to hospital clinics in preventing the recurrence of problematic claims.
  • Provide PMDS and hospital clinics with requested feedback, respond to general inquiries, process paper-based requests, assist with/locate missing EOBS, post patient payments, assist with patient billing phone calls, and reconcile patient bad addresses/returned mail.
  • Assist with insurance, patient refund processing, and reconciliation between accounting and PMDS, including reviewing refund lists, obtaining check numbers for refund checks processed, and assisting in the overall unapplied credits process.
  • Oversee and monitor 3rd party payer/provider/department enrollment processes and ensure timely communication of changes/updates to hospital clinics, PMDS, and other impacted parties.
  • Collaborate with PMDS and other LifePoint hospitals/corporate departments to disseminate best-demonstrated practices.
  • Ensure compliance with all relevant regulations, standards, and laws.
  • Work on special projects as needed.

EEOC Statement:

Wilson Medical Center is committed to providing Equal Employment Opportunities for all applicants, and employees while complying with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.


Minimum Education

A high school diploma or equivalent is required
A Bachelor’s degree is preferred


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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