Physician Billing Coordinator, OBGYN Sunset, FT, Days

Inspire health. Serve with compassion. Be the difference.Job Summary Responsible for the accurate and timely posting of all charges, payments, adjustments and denials into the Practice Management System. Balance totals of all financial activity posted to patient accounts prior to daily close. Perform daily closing of assigned datasets and provide appropriate documentation to be archived. Generate patient statement and insurance claim files as instructed. Transmit batches electronically according to established procedures. Facilitate processing of all active claims and statements. Perform account collections. Provide customer service for patient account inquiries. All employees are expected to be knowledgeable and compliant with Palmetto Health''s values of compassion, dignity, excellence, integrity and teamwork.Accountabilities * Accurately post all charges, payments, adjustments and denials. Perform daily close out procedures and advance the date in the Practice Management System.* Create claim batches and process them via electronic submission. Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections and resubmit.* Transfer open items to secondary insurance when appropriate.* Utilize appropriate codes when posting charges into the Practice Management System. Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers.* Capture information from patient''s medical record when necessary to properly code both procedures and diagnoses.* Receive and answer telephone and written inquiries regarding patient accounts. Explain payment and settlementprocess to patient and third party payers. Review past due accounts and prepare for bad debt write off.* Contact insurance carriers and/or patients for immediate payment. Set up payment arrangements according toestablished guidelines when necessary.* Provide duplicate billings, coordination of benefit information and medical records when need to expedite payment of open items. Identify accounts with credit balances and process refund check requests.* Monitor claims for appropriate processing. Submit appeals correspondence to third party payers when claimprocessed incorrectly.* Post comments on patient account to reflect all actions made. Effectively utilize time and resources in order to meet performance goals.* Clearly communicate any billing related issues to Billing Manager. Maintain current knowledge of departmental and organizational policies.* Performs other duties as assigned.Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education High school diploma, GED or equivalentMinimum Experience 3+ years related experienceOther Required Skills Must be computer literate; prefer experience with current Practice Management System; must be dependable and self motivating; must be familiar with general charge entry procedures; ability to work independently with problem solving capabilities; extensive working knowledge of ICD-9, CPT, NCCI and Medicare LCDs; must be familiar with modifier application and standard billing regulations; must have the ability to read and comprehend insurance remits; must be able to communicate well with others.Work Shift Day (United States of America)Location 2 Medical Park Rd RichlandFacility 3382 OBGYN 1801 Sunset 200Department 33821000 OBGYN 1801 Sunset 200-Practice OperationsShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Created: 2025-11-15