Medical Insurance Billing Coordinator - Medicare

At Crossroads Hospice & Palliative Care, the supporting roles of our office teams go beyond paperwork and administrative tasks. All of our teams are integral parts of the compassionate care provided to our patients and their families. While our caregivers offer invaluable medical support, our contribution is to ensure every aspect of our patient's needs is heard and met. Our relationships are built on trust, serving as the linchpin of communication among our interdisciplinary teams. 
 

We recognize that our patients aren't just cases; they're individuals deserving of dignity, compassion, and respect, regardless of their circumstances. We believe that end-of-life care should never feel transactional, regardless of economic factors. Every person we care for deserves to be treated with dignity, compassion, and respect, no matter the circumstances. Together, we strive to make each moment count, providing comfort and meaning not just to the patients but also to their loved ones who will cherish these memories forever.
 

Consider joining us on this journey where your dedication to exceptional work can truly make a difference in the lives of those we serve. Together, we can create lasting impacts that transcend medical treatment.

Medical Insurance Billing Coordinator Qualifications: 

• High school diploma
• 1+ year of experience in a medical setting coordinating billing by verification & eligibility to commercial insurance companies, Medicare & Medicaid.
• Knowledge of business and accounting processes is usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
• Experience and/or working knowledge of ICD 10
• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.

Medical Insurance Billing Coordinator Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures.
• Review patient bills for accuracy and completeness and obtain any missing information.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
• Follow up on unpaid claims within the standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with the contract discount.
• Call insurance companies regarding any discrepancy in payments if necessary.
• Identify and bill secondary or tertiary insurance.
• All accounts are to be reviewed for insurance or patient follow-up.
• Research and appeal denied claims.
• Answer all patient or insurance telephone inquiries about assigned accounts.
• Set up patient payment plans and work collection accounts.
• Update billing software with rate changes.
• Additional responsibilities as assigned by leadership.