Billing Coordinator

Career Opportunities: 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.

Key Responsibilities
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.2. Claims Submission & Follow-UpSubmit 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 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.5. Coordination & Cross-Functional SupportWork 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.6. Compliance & QualityEnsure 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 elevate them in internal audits and provide required billing documentation when requested.
Maintain a high level of accuracy and attention to detail in all billing activities.7. Reporting & Performance MonitoringMaintain 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.8. Process ImprovementIdentify gaps and inefficiencies within the billing process and recommend practical improvements.
Participate in RCM process improvement the development and implementation of standardized billing procedures and controls