Billing Coordinator

Position Summary

Provide 1 or 2 sentences that summarizes the purpose and objectives of the job.

The Business Operations Representative provides operational and revenue cycle support to Hunterdon Medical Group by partnering with the Business Operations team and Practice Managers to identify, analyze, and optimize revenue opportunities. This position supports revenue integrity, denial prevention, workflow standardization, and operational improvement initiatives across physician practices to enhance financial performance and improve the patient experience.

Primary Position Responsibilities

List primary duties of the position. Approximately 4 to 7 essential functions in order of importance (most important first).

For step by step instructions on how to complete this section, click on the 2nd tab in red named 'Guidelines - Job Description.

1

• Revenue Integrity & Billing Operations

Process and coordinate Good Faith Estimates in accordance with federal and organizational requirements.

Review charge capture, write-offs, claim edits, work queues, and reimbursement variances to promote accurate and timely billing.

Analyze Zero Balance Account Reports and identify opportunities for revenue recovery.

Assist with billing-related issues, payment discrepancies, and payer-specific claim concerns.

Support revenue cycle activities that improve reimbursement and reduce accounts receivable.

2

• Denial Prevention & Reporting

Monitor denial management reports and assist with researching, resolving, and appealing denied claims.

Identify denial trends, root causes, and opportunities for process improvement.

Develop and maintain operational reports, dashboards, and performance metrics for leadership.

3

• Practice Operations Support & Education

Partner with Practice Managers, providers, Central Billing, and other departments to resolve operational and revenue cycle issues.

Provide education and guidance to practice staff on revenue cycle best practices, payer requirements, and organizational workflows. Assist with provider payer enrollment.

Serve as a resource to practices for operational questions related to billing and reimbursement.

4

• Operational Improvement & Project Support

Participate in organizational initiatives focused on workflow standardization, revenue optimization, and operational efficiency.

Support implementation of new processes, system enhancements, and technology improvements, including electronic health record workflow updates.

Participate in audits and continuous quality improvement initiatives to ensure compliance with organizational policies and regulatory requirements.

5

• Professional Responsibilities

Maintain current knowledge of payer requirements, reimbursement guidelines, regulatory changes, and organizational policies.

Exercise sound judgment while handling confidential patient, financial, and organizational information.

Establish effective working relationships with providers, leadership, practice staff, and external partners.

Perform other related operational, revenue cycle, and administrative duties as assigned.

Minimum Education Requirements

Required

High School Diploma or Equivalent

List specific degree and/or certificate

Preferred

Associate Degree

Associates degree in Healthcare, Business Administration or a related field preferred

Minimum Years of Experience

Minimum Years of Experience (Amount, Type and Variation)

Required

Two (2) years of experience in healthcare revenue revenue cycle, medical billing, accounts receivable or healthcare finance preferred. Experience working with electronic health records (EHR), patient accounting systems and insurance payer portals preferred

License, Registry or Certification

Please provide full name of license, registry, or certification, ex. “Certified Coding Specialist (CCS)”

Required

None

Preferred

Billing certification. Coding Certification.

Knowledge, Skills and/or Abilities

Required

Knowledge of healthcare revenue cycle processes, including patient registration, insurance verification, billing, payment posting, collections, and claims follow-up, Working knowledge of Medicare, Medicaid, commercial insurance, and managed care reimbursement guidelines, understanding of medical terminology, CPT, HCPCS, and ICD-10 coding principles preferred, Excellent verbal and written communication skills, Ability to prioritize multiple tasks while meeting deadlines, High level of accuracy and attention to detail, Ability to maintain confidentiality and protect sensitive patient financial information

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).