Job Description

Under the direction of the Billing Office Manager, the Billing Coordinator, GVMP Billing is responsible for supporting the professional billing process in Grand View Medical Practices. The Billing Coordinator, GVMP Billing closely monitors all outstanding accounts receivable to ensure the timely and accurate processing of all claims for services rendered to our patients . The Billing Coordinator, GVMP Billing has strong communication skills with providers, patients and payers.

Essential Functions:

• Possesses a thorough understanding of managed care contracts and their limitations.

• Acts as liaison between all insurance company representatives. Stays informed of third-party regulations and requirements by reading all newsletters and periodicals published by different insurance companies.

• Maintains working knowledge of CPT and ICD10 codes.

• Responsible for the collection process which includes evaluating and reporting delinquent accounts directly to the collection agency as well as calling patients for overdue balances and sending collection letters.

• Makes deposits of all processed checks for the day. Responsible for checking to see if deposits from all the GVMP offices are equal at the end of the month.

• Prints patient statements and submits patient claims electronically or on paper as indicated .

• Locates EOBs and receipts as well as medical charts.

• Keeps track of problems and resolves issues.

• Processes refunds and credits for patients and insurances.

• Processes capitation checks and reports.

• Maintains a full understanding of the different insurances and how they are billed.

• Understands and submits claims via web to MA.

Schedule : Monday - Friday, 8:00 am - 4:30 pm, flexible hybrid work schedule.

Education and Experience: High School Diploma/GED, Required.

Minimum of 3 years professional medical billing experience including:

• Medical accounts receivables/resolution

• Insurance claims adjudication

• Working knowledge of CPT and ICD10 codes

• Claims submissions

• Payor portals

Benefits: We offer a competitive salary and comprehensive benefits to part-time and full-time employees including:

• Medical, dental, & vision insurance available 1st of the month after start date

• Wellness and gym discounts & free cardiac rehab gym

• 403B

• On-site discounted childcare center

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