Insurance Claims Coordinator

Central Ohio Primary Care Physicians, Inc.; Westerville (OH); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Central Ohio Primary Care Physicians, Inc. is seeking an Insurance Coordinator to manage denied insurance claims, handle appeals, and gather information to secure reimbursement. After 90 days of on-site training, the role becomes fully remote, with residence in Ohio and periodic travel to Westerville.

The position is full time and benefits eligible, with standard hours Monday through Friday, 8am to 4:30pm. Prior healthcare and billing experience are preferred but not required, and Microsoft

Qualifications

• 1 year experience in health care setting preferred, not required.
• 1 year experience in customer service preferred, not required.
• 1 year proven experience in collections preferred, not required.

Responsibilities

• Work listing of aged accounts and handle incoming correspondence from insurance payers to resolve billing issues that delay reimbursement.
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies such as re-filing claims or adjustments.
• Update patient demographic information and make necessary system corrections to the patient account.
• Act as liaison between patient and payer to provide clear and accurate billing information to expedite payment.
• Conduct research to provide patient and physician with accurate account information.
• Report trends or issues to management regarding insurance claims and suggest process improvements.

Skills

Customer service

Collections

Healthcare setting knowledge

Education

High School diploma or GED

Tools

Microsoft Teams

Word

Excel

Outlook

Job description

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 90 days of ON-SITE training this will be a fully remote position. Must reside in the State of Ohio and willing to travel to Westerville as needed.

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

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.