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

CQ Partners

  • Pittsburgh, Pennsylvania
  • 23 days ago
  • Remote

    Highlights

    The Healthcare Billing & Insurance Coordinator is responsible for supporting all aspects of the revenue cycle, including insurance verication, authorization management, claim submission, denial resolution, payment posting, and accounts receivable follow-up. 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.

    Numbers & Facts

    LocationPittsburgh, Pennsylvania (
    Remote
    )

    Description

    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 verication, 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 Verication & Authorizations:

    · Verify patient eligibility, benets, 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 benet 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-specic 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.

    PayerRelations& 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 verication through nal 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.

    Qualications 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 prociency 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 verication, revenue cycle, or medical ofice experience.

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

    · Knowledge of insurance verication, 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

    · Prociency with healthcare software systems and payer portals Benets:


    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?

    AtHearingUnlimited,wearededicatedtoimprovinglivesthroughbetterhearinghealthcare.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.

    Applytodayandhelpusdeliveranexceptionalexperienceforeverypatientwhilesupportingthe nancial health of our organization.

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