Billing and Collections Coordinator

Position Summary

The Billing & Collections Coordinator supports accurate and timely billing, efficient collections, and compliance with healthcare regulations. This position contributes to the financial health of the organization by processing accounts receivable activities, resolving billing discrepancies, and communicating with internal teams and external payers to support reimbursement.

Responsibilities

Billing Operations Prepare and submit claims to commercial and government payers (Tricare, ChampVA, Medicaid, and other third-party payers) Verify coding accuracy and ensure documentation supports billed services Monitor claim status and follow up on denials, rejections, and underpayments Verify insurance coverage prior to billing to ensure eligibility and benefits Submit appeals and additional documentation as needed Communicate with clinical and administrative teams to obtain information needed to resolve billing issues.

Collections, Payment Posting & Reconciliation Track outstanding balances and initiate collection efforts on overdue accounts Communicate with patients regarding balances, payment plans, and financial assistance Post payments, adjustments, and refunds accurately into the billing system Reconcile daily, weekly, and monthly payment activity to ensure financial accuracy Prepare aging reports and refer unresolved accounts to the appropriate supervisor in accordance with established procedures.

Compliance & Documentation Maintain compliance with HIPAA, payer guidelines, and internal policies Follow current billing regulations, payer requirements, and documented departmental procedures. Document all billing and collection activities in the system accurately Communication & Coordination Communicate billing-related information between billing, finance, and clinical departments as needed to resolve account issues.

Respond to inquiries from patients, payers, and internal team members Participate in billing procedure and system workflow training as required. General Support Perform other tasks as assigned by management Qualifications Education & Experience High school diploma or equivalent required; associate degree or certification in medical billing preferred 2+ years of experience in healthcare billing and collections Familiarity with EMR/EHR systems and billing software Skills & Competencies Strong understanding of CPT, ICD-10, and HCPCS coding Excellent organizational and time management skills Detail-oriented with a proactive approach to problem-solving Effective communication skills, both written and verbal Ability to handle sensitive information with discretion Physical Demands The physical demands listed below are a requirement to successfully perform the essential functions of this job.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit or stand for long periods of time, speak, and listen; use of hands to touch and grasp objects and to reach with hands and arms.

The employee is occasionally required to move about the facility. Visual ability to view a computer screen for long periods of time is required. Evening and weekend work based on business need. Ability to travel based on business need. This role may be performed on-site, remotely, or in a hybrid capacity, depending on organizational policy and team needs Standard business hours apply Remote employees must maintain a secure and compliant work environment, especially when handling PHI.