Credit Account Coordinator

Role Overview

This position sits at the center of the hospital's revenue cycle, acting as the operational bridge between the facility and the insurance companies and corporate clients who pay for patient care. You will manage the accuracy of the payor database inside the hospital's HMIS, verify that every debtor account is backed by a valid contract, and make sure billing teams always have the latest coverage rules and authorization requirements. Your work directly prevents claim rejections, shortens payment delays, and keeps the hospital's corporate relationships running smoothly.

Key Responsibilities

• Serve as the primary point of contact between the hospital and insurance benefits teams, fielding questions from both internal departments and external corporate partners about coverage, contract terms, and billing rules.
• Own the debtor contract library: verify that all insurance and direct corporate accounts have signed, current SLAs in place, store those agreements securely, and flag any expiring or missing contracts before they cause billing interruptions.
• Maintain the payor master database in the hospital HMIS, adding new schemes only after confirming a duly signed contract, suspending schemes when instructed by insurers, and updating member lists as additions or removals come through.
• Manage pre-authorization requirements by configuring the system to allow billing for items that need prior approval, ensuring that only authorized procedures and treatments move forward unwarranted.
• Investigate rejected claims to pinpoint root causes—whether inaccurate member data, invalid contracts, or outdated billing rules—and implement corrective updates so the same mistake does not recur.
• Train billing and front-line staff on current insurance and corporate requirements, using the shared corporate folder to keep everyone informed of changes to payer policies, coverage limits, and authorization steps.
• Prepare and submit monthly claims reports on schedule, giving leadership a clear view of outstanding receivables and recurring issues.
• Support the performance of any team members reporting to you by setting clear expectations, coaching on process improvements, and driving engagement around the hospital's broader financial goals.

Requirements & Qualifications

• Bachelor's degree in a business-related field such as accounting, finance, healthcare administration, or management.
• CPA Part 2 certification or demonstrable progress toward a professional accounting qualification.
• At least 2 years of experience in a similar role, ideally within a hospital, insurance company, or healthcare billing environment.
• Strong attention to detail, especially when managing contract dates, member lists, and system updates where a small error can lead to a denied claim.
• Excellent interpersonal and communication skills, with the ability to explain complex billing requirements clearly to colleagues and external payers.
• Comfortable working both independently and as part of a team in a fast-paced, deadline-driven revenue cycle function.