Insurance Claims Coordinator

Central Ohio Primary Care; Westerville (OH); Remoto; USD 25.000 - 33.000; Tempo pieno

Descrizione del lavoro

Central Ohio Primary Care is seeking an Insurance Coordinator to manage denied insurance claims, appeals, and information requests to secure reimbursement. After training, the role becomes fully remote; must reside in Ohio and travel to Westerville for training.

This is a full-time position, Monday–Friday 8am–4:30pm, focusing on resolving billing issues, liaising with payers and patients, updating demographics, and ensuring HIPAA compliance.

Competenze

• High School diploma or GED required or preferred.
• 1 year experience in a health care setting preferred, not required.
• 1 year experience in customer service preferred, not required.
• 1 year proven experience in collections preferred, not required.

Mansioni

• Work listing of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve any billing issues that delay reimbursement.
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies. Take actions such as re-filing claims, requesting adjustments, refunds, etc.
• Update patient demographic information and make necessary system corrections to the patient account.
• Act as a liaison between patient and payer to provide clear and accurate billing information to expedite payment.
• Conduct research to provide patient and/or physician with clear account information.
• Report trends or issues to management regarding insurance claims.
• Adhere to HIPAA guidelines and maintain confidentiality of financial and medical information.
• Perform additional duties as assigned by management.

Conoscenze

Customer service

Billing

Health care

Communication

Microsoft Teams

Microsoft Word

Microsoft Excel

Microsoft Outlook

Formazione

High School diploma or GED

Strumenti

Microsoft Teams

Microsoft Word

Microsoft Excel

Microsoft Outlook

Descrizione del lavoro

The Insurance Coordinator is responsible for working claims that have been denied by insurance carriers, including processing appeals and providing any additional information necessary to obtain reimbursement. After training this will be a fully remote position. Must reside in the State of Ohio and willing to travel to Westerville as needed. Please plan on being in the Westerville office for 2-3 weeks for training.

• Full Time/Benefits Eligible
• Monday-Friday 8am - 4:30pm

Duties/Responsibilities:

• Work listing of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve any billing issues that delay reimbursement.
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies. Take appropriate actions as needed such as re-filing claims, requesting adjustments, refunds, etc.
• Update patient demographic information and make any necessary system corrections to the patient account.
• Act as a liaison between patient and payer when needed to provide patient and/or payer with clear and accurate billing information or other pertinent information to expedite payment.
• Conduct research to provide patient and/or physician with clear and accurate account information.
• Report trends or specific issues to management regarding insurance claims.
• Recommend quality and/or process improvement initiatives in order to more effectively and efficiently perform the job functions of this position.
• Adhere to the HIPAA guidelines regarding confidentiality relating to the release of financial and medical information.
• Maintain the values and philosophy of the mission statement of the company.
• Performs all other duties as assigned by management.

Requirements:

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

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.