Hours:  Monday to Friday 8am to 5pm

Summary & Objective

The Physician Billing Coordinator is responsible for overseeing physician billing operations to ensure accurate, timely claim submission and reimbursement. This role collaborates closely with providers, clinical staff, insurance carriers, and patients to resolve billing issues, manage accounts receivable, and maintain compliance with all applicable regulatory and payer requirements.

Essential Functions

• Coordinate and manage physician billing activities for medical services rendered.
• Prepare, review, and submit insurance claims accurately and in a timely manner.
• Monitor accounts receivable and follow up on unpaid or denied claims.
• Investigate and resolve billing discrepancies and insurance rejections.
• Verify patient insurance coverage and authorization requirements.
• Post payments, adjustments, and patient charges in billing systems.
• Communicate with physicians, clinical staff, insurance companies, and patients regarding billing matters.
• Ensure accurate use of ICD-10, CPT, and HCPCS codes.
• Maintain compliance with HIPAA regulations and payer guidelines.
• Generate billing reports and assist with revenue cycle management.
• Support audit activities and maintain accurate, complete billing documentation
• Review records for duplicate entries, posting errors, mileage discrepancies, and missing or inaccurate information

* Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position.

Supervisory Responsibility

May serve as an interim department leader, depending on need.

Physical Requirements

• Must be able to lift and/or move up to 50 pounds; push and/or pull more than 250 pounds; walk; climb stairs or ladders; and stand for extended periods of time.

Disclaimer

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time.

Knowledge & Experience Requirements

• High school diploma or equivalent required.
• Associate degree or certification in medical billing or coding preferred.
• Minimum of 2–3 years of physician billing experience preferred.
• Strong understanding of medical terminology, coding, and reimbursement methodologies.
• Experience with Medicare, Medicaid, and commercial payer requirements.
• Proficiency in medical billing systems and electronic medical records (EMR).
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication and customer service abilities.

Preferred Qualifications

• Experience with systems such as HCHB.
• Ability to manage multiple provider accounts and deadlines effectively.
• Strong problem-solving and customer service abilities.
• Knowledge of revenue cycle management processes and performance metrics.