Billing Coordinator (3777)

The Billing Coordinator is responsible for coordinating and supporting the end-to-end billing process within the Revenue Cycle Management (RCM) department. The role ensures that patient accounts and claims are accurately prepared, billed, submitted, monitored, and followed up in a timely manner, in accordance with payer requirements, hospital policies, and applicable regulatory standards.

The Billing Coordinator works closely with clinical, front-office, coding, insurance, finance, and other relevant departments to ensure accurate documentation, appropriate billing, timely claim submission, and effective resolution of billing-related issues.

Review patient accounts and supporting documentation to ensure completeness and billing readiness.

Prepare and process patient and insurance claims accurately and within established timelines.

Ensure charges, services, procedures, medications, supplies, and other billable items are accurately captured and billed.

Verify that required clinical and administrative documentation is available before claim submission.

Ensure billing is aligned with approved payer contracts, agreed tariffs, and hospital billing policies.

Identify billing discrepancies, missing charges, duplicate charges, and other issues that may impact claim submission or reimbursement.

Coordinate with relevant departments to obtain missing information or documentation required for billing.

Submit insurance claims through the appropriate payer channels within defined turnaround times.

Monitor submitted claims and maintain appropriate follow-up until adjudication and payment.

Review claim status and identify claims requiring correction, resubmission, or additional documentation.

Coordinate with the Claims, Coding, Insurance, and Finance teams to resolve claim-related issues.

Ensure rejected or returned claims are investigated and addressed promptly.

Maintain accurate records of claim submissions, corrections, resubmissions, and outstanding actions.

Review billing-related denials and rejections and determine the underlying cause.

Correct billing errors and coordinate with relevant departments where additional action or documentation is required.

Support timely resubmission of corrected claims.

Escalate recurring or high-value billing issues to the Revenue Cycle Team Lead or Manager.

Contribute to identifying trends and root causes of billing denials and rejections.

Support departmental initiatives aimed at reducing avoidable denials and improving first-pass claim acceptance.

Review patient accounts for accuracy, completeness, and appropriate billing.

Verify that services provided are reflected correctly on the patient account.

Investigate billing discrepancies and coordinate with the relevant departments for resolution.

Support the accurate processing of patient refunds, adjustments, credit balances, and other account-related transactions in accordance with approved procedures.

Assist in resolving patient billing queries when required and coordinate complex cases with the appropriate teams.

Work closely with Front Office, Outpatient and Inpatient departments, Medical Records, Coding, Insurance, Finance, and Clinical teams.

Communicate billing requirements and outstanding documentation requirements to relevant stakeholders.

Follow up on incomplete or delayed documentation that may affect claim submission or reimbursement.

Participate in regular coordination meetings and provide updates on billing issues, pending accounts, and outstanding claims.

Maintain effective communication with internal stakeholders to facilitate timely resolution of revenue cycle issues.

Ensure billing activities comply with hospital policies, payer requirements, contractual agreements, and applicable regulatory requirements.

Maintain confidentiality and security of patient and financial information at all times.

Follow established billing workflows, approval processes, and internal controls.

Identify potential compliance or billing risks and escalate them appropriately.

Participate in internal audits and provide required billing documentation when requested.

Maintain a high level of accuracy and attention to detail in all billing activities.

Maintain accurate billing and claim-related records and trackers.

Prepare routine reports related to billing status, pending claims, rejections, denials, and other assigned RCM activities.

Monitor assigned accounts and ensure follow-up is completed within agreed timelines.

Support the Revenue Cycle team in analyzing billing performance and identifying opportunities for improvement.

Provide accurate and timely updates to the Revenue Cycle Team Lead/Manager.

Identify gaps and inefficiencies within the billing process and recommend practical improvements.

Participate in RCM process improvement initiatives.

Support the development and implementation of standardized billing procedures and controls.

Share recurring issues and payer-related observations with the Revenue Cycle leadership team.

Contribute to initiatives designed to improve revenue realization, reduce billing errors, and shorten the revenue cycle.

Performance may be measured against the following indicators:

Billing accuracy and completeness.

Timely claim submission.

Claim submission turnaround time.

First-pass claim acceptance rate.

Billing-related rejection and denial rate.

Timely resolution and resubmission of rejected/denied claims.

Outstanding billing/claim follow-up.

Value of avoidable billing errors.

Productivity and volume of accounts/claims processed.

Compliance with departmental SLAs and established procedures.

Accuracy and timeliness of billing reports and documentation.

Internal audit and quality compliance.

Relevant experience in healthcare billing, claims processing, insurance, accounts receivable, or Revenue Cycle Management.

Experience working with hospital information systems, electronic medical records, and/or billing systems.

Experience dealing with insurance claims, rejections, denials, and resubmissions is preferred.

Familiarity with payer requirements, medical billing processes, and healthcare documentation requirements.

Accountability and ownership.

Attention to detail.

Customer and patient focus.

Teamwork and collaboration.

Problem solving and analytical thinking.

Time management and organization.

Adaptability and continuous improvement.

Effective communication.

Integrity and confidentiality.

Ability to work under pressure and meet deadlines.

Revenue Cycle Management

Finance

Insurance/Claims

Medical Coding

Medical Records

Front Office / Patient Access

Clinical Departments

Pharmacy

Laboratory

Radiology

Patient Relations

Other relevant hospital departments

Insurance companies and TPAs, as applicable

Other authorized healthcare and billing-related entities

The Billing Coordinator is accountable for the accuracy, completeness, and timely processing of assigned billing activities and for escalating issues that may affect claim submission, reimbursement, compliance, or revenue realization.

The position is expected to work within approved hospital policies, payer agreements, departmental procedures, and delegated authority levels.