Billing Coordinator

Overview

The Billing Coordinator is tasked with managing daily billing and claims operations, ensuring precise patient invoicing and thorough insurance claim preparation and documentation, all aligned with payer guidelines and internal standards.

Job Duties

• Manage patient billing and invoicing workflows.
• Coordinate insurance claim processes and documentation.
• Verify billing accuracy and ensure compliance with policies.
• Communicate effectively with payers and patients regarding billing matters.
• Provide support across the revenue cycle activities.

Required Education and Experience

• Possess a bachelor's degree or diploma in Accounting, Finance, Healthcare Administration, or a related discipline.
• Medical billing or coding certification is advantageous.
• Have between two and four years of experience in healthcare billing or revenue cycle management.
• Experience in long-term care, rehabilitation, or hospital environments is preferred.

Key Skills and Knowledge

• Deep understanding of healthcare billing processes and revenue cycles.
• Familiarity with insurer workflows and claim submission protocols.
• High attention to detail ensuring accuracy in data management.
• Basic skills in reporting and financial reconciliation.
• Strong communication abilities and aptitude for follow-up activities.

Language Proficiency

• Fluent in both written and spoken Arabic and English.

Primary Responsibilities

• Support timely and accurate billing operations.
• Ensure adherence to billing policies and payer mandates.
• Collaborate closely with admissions, clinical departments, and finance teams.
• Prepare and validate patient invoices and billing documentation.
• Ensure correct charge entries and conduct reconciliations.
• Assist with insurance eligibility checks and obtain pre-authorizations.
• Submit insurance claims via NPHIES system.
• Follow up on unresolved claims and address billing issues.
• Work with insurers to resolve discrepancies.
• Maintain comprehensive and precise billing records.
• Help track denials and manage claim resubmissions.
• Address billing inquiries from patients and internal stakeholders.
• Contribute to audits, reconciliations, and financial evaluations.