At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

The Regional Billing Coordinator serves as the primary point of contact for assigned markets for revenue cycle operations related to charge posting, billing, accounts receivable follow-up, payment processing, and reconciliation activities. This role provides operational support, training, and oversight to hospital clinics and physician practices to ensure accurate billing, timely collections, regulatory compliance, and adherence to standardized revenue cycle workflows. The Regional Billing Coordinator collaborates closely with PMDS, facility teams, and corporate partners to resolve issues, prevent denials, and promote best practices across the region.

Essential Functions

• Serves as the primary regional contact for revenue cycle follow-up related to charge posting, accounts receivable, payments, and patient account activities for hospital-based clinics and physician practices
• Provides training, guidance, and ongoing support to clinic staff on front-end revenue cycle processes, including demographics and insurance entry, eligibility verification, authorizations, time-of-service collections, and provider credentialing impacts
• Oversees and performs bank, payment, deposit, and cash reconciliation processes in coordination with clinics, PMDS, and accounting
• Reviews clinic charge posting activities for accuracy, compliance, and adherence to established workflows; assists with charge posting where designated
• Reviews, responds to, and resolves claim edits, front-end and back-end denials, and appeals where assigned; provides feedback and education to prevent recurring issues
• Supports clinics and PMDS by responding to inquiries, researching missing EOBs, processing paper requests, posting patient payments, assisting with patient billing calls, and resolving returned mail or bad address issues
• Assists with insurance and patient refund processing, including reconciliation between accounting systems and PMDS, monitoring unapplied credits, and tracking refund documentation
• Oversees and monitors payer, provider, and departmental enrollment activities and ensures timely communication of changes to clinics, PMDS, and other stakeholders
• Collaborates with PMDS and corporate revenue cycle partners to identify, share, and implement best demonstrated practices across the region
• Ensures compliance with applicable federal and state regulations, payer requirements, and organizational policies
• Participates in special projects and process improvement initiatives as assigned
• Travels periodically to assigned markets as business needs require

Knowledge/Skills/Abilities/Expectations

• Strong working knowledge of healthcare billing, claims processing, denials management, and payer requirements
• Proficiency with electronic health records and practice management systems (e.g., athena, Cerner, eClinicalWorks or similar platforms)
• Advanced proficiency with Microsoft Office applications, including Excel
• Ability to develop, follow, and interpret written procedures and workflows
• Strong analytical, organizational, and problem-solving skills
• Excellent written and verbal communication skills with the ability to train and influence clinic staff
• Ability to work independently, manage competing priorities, and collaborate effectively across departments
• Prolonged periods of sitting and computer use
• Occasional lifting of materials up to 25 pounds
• Visual and auditory acuity required for detailed data review and communication
• Remote work environment with standard business hours, Monday through Friday
• Periodic travel to healthcare facilities and offices within the assigned region
• Exposure to typical office and healthcare administrative environments

Education

• High school diploma or equivalent required
• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field preferred

Licenses/Certifications

• None required
• CPC coursework or Certified Professional Coder (CPC) certification preferred

Experience

• Minimum of 3–5 years of medical billing or revenue cycle experience in a hospital-based clinic or physician practice environment required
• Experience supporting multiple sites or regional operations preferred
• Prior experience working with PMDS or centralized billing models preferred