Senior Billing Coordinator (47275)

• Communicate with clients to address day-to-day information requests and resolve lower-level billing-related issues promptly.
• Handle escalated billing responsibilities, including co-insurance, Medicare Part B, therapy filings, and claims for multiple facilities.
• Ensure claims compliance with Medicare, Medicaid, and private insurance guidelines while maintaining high accuracy in coding and submissions.
• Provide detailed and reliable reports on billing activity.
• Act as a Team lead for certain operational tasks, such as monitoring billing performance metrics and assisting with budget management for assigned facilities.
• Mentor and support less experienced team members, providing guidance and training on billing practices and policies.
• Identify and escalate performance or operational issues to the appropriate leadership for resolution.
• Perform additional duties as assigned to meet departmental and client needs.

Qualifications:

• 5–10 years of billing experience, with a focus on long-term care facilities or healthcare settings preferred.
• Advanced knowledge of billing processes, claims management, and payer requirements for Medicare, Medicaid, and private insurance.
• Strong organizational skills with the ability to manage multiple priorities and meet deadlines.
• Exceptional verbal and written communication skills for interacting with clients and team members at all levels.
• Detail-oriented with a high level of accuracy in billing processes and reporting.
• Analytical and problem-solving abilities to address a variety of billing scenarios.
• Demonstrated ability to handle confidential and sensitive information professionally.

Required Skills and Competencies:

• Comprehensive understanding of insurance industries, managed care programs, and government payer guidelines.
• Proficiency in billing software and tools for tracking claims and generating reports.
• Knowledge of HIPAA regulations and best practices for managing client data securely.
• Ability to identify inefficiencies and suggest improvements to enhance operational workflows.