Midland Memorial Hospital ยท 4 weeks ago
Ambulatory Coordinator - Billing Specialist
Midland Memorial Hospital is seeking an Ambulatory Coordinator - Billing Specialist to manage the billing and collections of physician claims. The role involves filing claims for reimbursement, monitoring patient accounts, and ensuring accuracy in claim filing while adhering to relevant laws and regulations.
Health CareHospitalNon Profit
Responsibilities
Resolution of all billing claims; electronic and manual. End of month reporting and distribution of reports to contracted physicians
Able to understand, explain and handle referral/authorization issues, pre-authorization requirements, verifications, appeals, and medical necessity issues
Timely follow up of claims including the completion of additional tasks to assure claims are paid timely. Ability to respond timely to insurance and billing inquiries made in person, by mail or over the phone. Completion of all billing edits
Awareness, knowledge and cognitive ability in use of 1500 form locators, ICD 9 codes, CPT codes, and modifiers
Qualification
Required
Responsible for the billing and collections of physician claims
File physician claims for reimbursement, including electronic and paper submissions
Monitor physician systems, billing and patient accounting system, department reports, taking corrective action to ensure accuracy in claim filing to payers
Function in accordance with federal, state, and local laws; rules and regulations; and policies, procedures and guidelines of the employing health care institution or practice setting
Consistent commercial insurance follow-up of physician claim(s) greater than 30 days, aged from final bill date, and resolution of same in a timely and cost-effective manner
Form relationships with the individual insurance payers/clients in order to have the maximum response for timely and accurate payment
Monitor patient accounts assigned for accurate payment(s) or non-payment and take compliant actions for account reimbursement
Resolution of all billing claims; electronic and manual
End of month reporting and distribution of reports to contracted physicians
Able to understand, explain and handle referral/authorization issues, pre-authorization requirements, verifications, appeals, and medical necessity issues
Timely follow up of claims including the completion of additional tasks to assure claims are paid timely
Ability to respond timely to insurance and billing inquiries made in person, by mail or over the phone
Completion of all billing edits
Awareness, knowledge and cognitive ability in use of 1500 form locators, ICD 9 codes, CPT codes, and modifiers
High School Graduate or Equivalent
Preferred
Two (2) years billing or coding experience preferred
Company
Midland Memorial Hospital
Midland Memorial Hospital is a medical care service provider that focuses on the needs of a dynamic community with healthcare programs.
H1B Sponsorship
Midland Memorial Hospital has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (2)
2023 (1)
2022 (1)
2021 (1)
Funding
Current Stage
Late StageLeadership Team
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