The Toledo Clinic ยท 11 hours ago
REIMBURSEMENT AND BILLING COORDINATOR
The Toledo Clinic is seeking a Reimbursement and Billing Coordinator to manage fee schedules and ensure compliance with payor regulations. The role involves coordinating with medical offices and the Business Office regarding reimbursement issues and supporting the administration with contracts.
Health CareHospitalMedical
Responsibilities
Responsible for the update and control of the fee schedule files
Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices
Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases
Generate payor analysis as requested by Administration/Contracting Committee
Assist offices with any fee schedule issues they may have
Work with IT and eCW testing new applications
Pull contracting information as requested
Communicate with Payors on issues regarding reimbursement
Other duties as assigned
Qualification
Required
Extensive knowledge of Excel pertaining to Formulas and Pivot Tables
Working knowledge of a physician based medical office practice
Knowledge of physician coding and federal/state regulations of patient care
Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame
Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed
Demonstrates adaptability to expanded roles
HS diploma or GED, Medical billing