PORT Health · 1 day ago
Program Billing Coordinator
Mount Airy, NC
Full-time
Onsite
Entry, Mid Level
2+ years expPORT Health is a recognized nonprofit organization providing mental health services. The Program Billing Coordinator oversees all aspects of program-specific billing, ensuring accuracy and compliance in claim processing and payment while collaborating closely with various departments.
Health CareHealth DiagnosticsMedicalPersonal Development
Responsibilities
Verify client insurance benefits and eligibility: Conduct frequent checks to confirm client coverage and service eligibility, ensuring compliance with insurance requirements
Navigate insurance portals: Obtain benefit details, submit and monitor authorization requests, and track claim statuses to ensure timely processing
Maintain accurate client information in EHR: Ensure all client data is current and that accounts are configured correctly for billing and claims
Resolve billing issues: Investigate and resolve discrepancies in collaboration with internal departments and external stakeholders to ensure smooth billing operations
Review and verify billing data: Confirm the accuracy of all billing details, including rates, hours, services provided, and program-specific information
Prepare financial reports: Generate detailed reports for program managers and finance teams, summarizing billing activity, revenue, outstanding balances, and comparing actuals to budget projections
Communicate with clients and payors: Address inquiries regarding invoices, payments, authorizations, or adjustments in a timely and professional manner
Manage service authorizations: Prepare and submit authorization documentation in accordance with payor policies and timelines, and update authorization records and supporting documents in the EHR
Follows: All ESPH procedures as appropriate to position
Qualification
Required
High School diploma or equivalent required
At least 2 years of experience (3 years preferred) in medical billing, healthcare benefits administration, and proficient use of payor portals for claims management and benefits verification
Familiarity with EHR systems at an administrative level is essential
Strong command of English with a solid understanding of U.S. healthcare, billing, and claims terminology
Demonstrated accuracy and attention to detail in financial reporting and billing processes
Excellent organizational and time management abilities, with the capacity to handle multiple projects simultaneously
Strong interpersonal and communication skills, with the ability to collaborate effectively with external payors and internal program teams
Proven ability to handle sensitive and confidential financial information with discretion
Strong problem-solving skills and the ability to resolve complex billing issues efficiently
Current unrestricted NC Driver's license and valid personal vehicle insurance
Preferred
3 years of experience in medical billing, healthcare benefits administration, and proficient use of payor portals for claims management and benefits verification
Company
PORT Health
Welcome to PORT Health.
201-500 employees
Funding
Current Stage
Growth StageRecent News
2025-04-30
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