Insurance Claims Coordinator

Central Ohio Primary Care; Westerville (OH); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is looking for an Insurance Claims Coordinator to join their team. This role is vital in managing denied claims, processing appeals, and ensuring timely reimbursement. The position offers a full-time opportunity with remote work flexibility after training. Ideal candidates will possess strong analytical skills and a background in customer service. Join a mission-driven organization that values efficiency and quality in patient care, and help enhance the billing process while adhering to HIPAA guidelines.

Qualifications

• 1 year experience in healthcare preferred but not required.
• 1 year experience in customer service preferred but not required.

Responsibilities

• Resolve billing issues that delay reimbursement.
• Act as a liaison between patient and payer for clear billing information.

Skills

Billing Issue Resolution

Customer Service

Claims Processing

Analytical Skills

Education

High School Diploma or GED

Tools

Microsoft Teams

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

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Central Ohio Primary Care is seeking an Insurance Claims Coordinator at our Central Business Office in Westerville, OH. This position is responsible for working claims that have been denied by insurance carriers, including processing appeals and providing any additional information necessary to obtain reimbursement. This is a full-time, benefits-eligible position working Monday-Friday first shift hours. After training, this will be a fully remote position. Must reside in the State of Ohio and be willing to travel to Westerville as needed.

Duties/Responsibilities:

1. Work listing of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve billing issues that delay reimbursement.
2. Analyze patient accounts, identify billing issues, and determine solutions with insurance companies. Take appropriate actions such as re-filing claims, requesting adjustments, refunds, etc.
3. Update patient demographic information and make necessary system corrections to the patient account.
4. Act as a liaison between patient and payer to provide clear and accurate billing information or other pertinent details to expedite payment.
5. Conduct research to provide patient and/or physician with clear account information.
6. Report trends or specific issues to management regarding insurance claims.
7. Recommend quality and process improvement initiatives to enhance efficiency.
8. Adhere to HIPAA guidelines regarding confidentiality of financial and medical information.
9. Maintain the values and philosophy of the company's mission statement.
10. Perform all other duties as assigned by management.

Requirements:

• High School diploma or GED
• 1 year experience in a healthcare setting preferred but not required
• 1 year experience in customer service preferred but not required
• 1 year proven experience in collections preferred but not required
• Working knowledge of Microsoft Teams, Word, Excel, and Outlook
• Must reside in Ohio

Additional Information:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Hospitals and Healthcare