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CQ Partners

Healthcare Billing & Insurance Coordinator - Remote (Must be in the Pittsburgh area)

Posted an hour ago
2-5 years experience
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AI Summary

The coordinator manages the full revenue cycle, including insurance verification, claim submission, denial resolution, and payment posting. They serve as a liaison between providers and insurance carriers to ensure accurate reimbursement and regulatory compliance.

Healthcare Billing & Insurance Coordinator Join the Hearing Unlimited Team!

Are you detail-oriented, organized, and passionate about helping patients navigate the healthcare insurance process? Hearing Unlimited is seeking a Healthcare Billing & Insurance Coordinator to support our growing team and play a vital role in ensuring accurate billing, timely reimbursements, and an exceptional patient experience.

This position is ideal for someone who enjoys problem-solving, managing multiple priorities, and working collaboratively with providers, and insurance companies.

Position Overview

The Healthcare Billing & Insurance Coordinator is responsible for supporting all aspects of the revenue cycle, including insurance verification, authorization management, claim submission, denial resolution, payment posting, and accounts receivable follow-up. This role serves as a key liaison between providers, insurance carriers, and payer portals to ensure eficient reimbursement and compliance with payer requirements.

Key Responsibilities

Insurance Verification & Authorizations:

· Verify patient eligibility, benefits, and coverage before services are rendered.

· Identify authorization requirements, coverage limitations, deductibles, coinsurance, and copays.

· Review and understand TPA (Third-Party Administrator) requirements and guidelines.

· Communicate benefit information and insurance requirements to providers and staf.

· Assist front ofice teams with insurance-related questions.

· Maintain accurate insurance information within the patient management system.

· Partner with team lead to monitor payer policy changes and reimbursement requirements.

Claims Management:

· Prepare, review, and submit clean claims accurately and timely.

· Ensure claims comply with payer-specific billing requirements.

· Monitor claim acceptance and quickly resolve submission errors.

· Follow up on unpaid or pending claims with insurance carriers.

· Research and resolve claim processing issues.

Denial Resolution:

· Investigate denied claims and payment discrepancies.

· Submit corrected claims, reconsiderations, and appeals as needed.

· Identify denial trends and recommend process improvements to reduce future denials.

Payment Posting & Accounts Receivable:

· Accurately post insurance and patient payments.

· Reconcile account balances, adjustments, and payment variances.

· Manage aging reports and outstanding balances.

· Follow up on underpayments and unpaid claims.

· Support collection and reimbursement goals.

Payer Relations & Compliance:

· Build and maintain positive relationships with insurance carriers and payer representatives.

· Stay informed of payer policies, procedures, and reimbursement updates.

· Maintain compliance with Medicare, Medicaid, commercial payer requirements, HIPAA regulations, and company policies.

· Assist with audits, reporting, and quality assurance initiatives.

Revenue Cycle Support:

· Support the patient journey from insurance verification through final payment collection.

· Collaborate with providers, administrative staf, and team lead to improve operational eficiency and reimbursement outcomes.

· Participate in process improvement initiatives and special projects.

Qualifications Required:

· High school diploma or equivalent.

· Strong organizational, communication, and customer service skills.

· Ability to manage multiple priorities in a fast-paced environment.

· High attention to detail and accuracy.

· Moderate to strong proficiency in Microsoft Excel and Microsoft Word, including the ability to create, maintain, and analyze spreadsheets, generate reports, and prepare professional business documents.

Preferred:

· Minimum of 2 years of healthcare billing, insurance verification, revenue cycle, or medical ofice experience.

· Experience working with insurance carriers, payer portals, and healthcare billing systems.

· Knowledge of insurance verification, authorizations, claims processing, appeals, denials, and accounts receivable management.

What Makes You Successful in This Role?

· Excellent attention to detail

· Strong analytical and problem-solving skills

· Ability to work independently and as part of a team

· Strong written and verbal communication skills

· Efective time management and organization

· Knowledge of medical billing regulations and payer requirements

· Proficiency with healthcare software systems and payer portals Benefits:


We offer:

· Competitive hourly pay

· Paid time of

· Paid holidays

· Health insurance

· Dental insurance

· Vision insurance

· Life insurance

· 401(k)

· Professional development opportunities Why Join Hearing Unlimited?

At Hearing Unlimited, we are dedicated to improving lives through better hearing healthcare. We value

teamwork, accountability, continuous learning, and exceptional patient care. As part of our team, you'll have the opportunity to make a meaningful impact while growing your career in a supportive and collaborative environment.

Apply today and help us deliver an exceptional experience for every patient while supporting the financial health of our organization.

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