Billing and Account Coordinator

Top Job

Located in Utica, NY

Salary: $18.00-$21.00

Medical company in Rome, NY is seeking a Billing & Account Coordinator to join their team. Responsibilities include the following:

• Process and track prescriptions, Certificates of Medical Necessity (CMNs), prior authorizations, and related documentation to ensure timely completion.
• Maintain accurate documentation and logs for prescriptions, CMNs, prior authorizations, and other required records.
• Manage discharge orders from receipt through completion, ensuring all documentation and requirements are met.
• Contact discharge patients regarding payment options, account balances, and enrollment in automatic payment programs.
• Perform prior authorization follow-up activities and communicate status updates as needed.
• Remain current on payer medical policies, coverage guidelines, and qualification requirements.
• Utilize electronic medical records (EMR), healthcare information systems, payer portals, and other technology platforms to support daily operations.
• Use insurance web portals to verify eligibility, review claims, retrieve documentation, and obtain payer information.
• Answer a high volume of inbound calls while providing exceptional customer service and support.
• Effectively manage multiple priorities while meeting department productivity and turnaround expectations.
• Research issues, document findings, recommend solutions, and communicate outcomes to leadership.
• Collaborate with leadership and team members to improve processes, resolve issues, and support departmental goals.
• Ensure compliance with company policies, HIPAA requirements, and all applicable regulatory standards.
• Maintain strict confidentiality of patient, employee, and company information.
• Perform other duties as assigned by management.

Job Requirements

• Knowledge of medical terminology, insurance coverage guidelines, and payer documentation requirements.
• Strong computer proficiency with the ability to navigate multiple systems, applications, and web-based portals simultaneously.
• Excellent verbal, written, customer service, and phone communication skills.
• Strong organizational, analytical, and problem-solving abilities.
• Ability to manage multiple priorities, meet deadlines, and adapt to changing business needs.
• Detail-oriented, self-motivated, and able to work independently with minimal supervision.
• Ability to work collaboratively in a team environment.
• Commitment to maintaining confidentiality and regulatory compliance.
• Proven ability to learn new technology, workflows, and processes.
• Dedication to delivering exceptional customer service and creating a positive patient experience

Work Hours

• Monday through Friday 8:30-5:00 pm
• One Saturday per month, 9:00-1:00 pm

 

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