Billing Coordinator

Overview

Employment Type: Full time Shift: Day Shift Description:

Position

Purpose:

The Billing Coordinator coordinates and processes all home medical equipment referrals and walk ins, verifying insurance coverage, complete doctor orders and documentation to ensure clean processing of claims. They perform their duties in a manner consistent with medical center philosophy and policy in areas relating to accounts receivable, public relations, and third-party relations.

• Enters PHI data into the billing software system, including client demographics, reimbursement and billing information.
• Edits and corrects the CMS 1500 claim form using proper data elements for each payer, ensuring correct billing units, dates of service, codes and modifiers are used. Ensures claims are in compliance with payer regulations.
• Performs all functions with the objective of maximizing reimbursement to Mercy One North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner. Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level. Provides management with statistical feedback of accounts.
• Communicates with other departments, physicians and their office staff, and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information.
• Demonstrates flexibility and adapts to changes in workload assignments. Acts as a backup when coworkers are absent and assists in reducing others’ backlog. Maintains a positive working relationship with coworkers, medical staff, and personnel from other departments. Instructs coworkers in sales order processing procedures and assists in the orientation and training of new employees.
• Assists customers politely, promptly, and accurately. Demonstrates good listening skills. Asks clarifying questions to meet customer’s needs.
• Puts account notes in appropriate software systems accurately, timely and objectively. Maintains patient confidentiality.

• Full time/Days, Mon - Fri: 8:30am-5:00pm

• Associate Degree or business college courses that equate preferred.

• Completion of medical terminology course or an equivalent combination of education and experience preferred.
• Demonstrated competence in a medical insurance setting for six months to one year preferred.

• Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status, race, religion, age, sexual orientation, disability or ability to pay.
• Must possess sufficient logic skills to make necessary judgment expediting work flow.
• Must be detail oriented and able to prioritize.
• Ability to understand, interpret and explain insurance benefits.
• Knowledge of medical equipment and its uses.
• Must have demonstrated competence in the use of personal computer using Windows, Excel, Spreadsheets and Word.
• Ability to type 55 WPM preferred.

• Education Assistance offered
• Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 20 hours per week or greater
• Competitive wages; including weekend and night differentials
• Generous paid time off program
• Retirement Savings program with employer match starting on Day 1

Mercy One North Iowa Medical Center provides expert health care to 15 counties. Mercy One North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. Mercy One New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000.

With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, Mercy One North Iowa Medical Center is the largest employer in the region. Mercy One Medical Group – North Iowa is part of Iowa’s largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.