Insurance Coordinator

Oral Surgery Partners; Galesburg (IL); On-site; USD 25,000 - 28,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

HSA eligibility for two plans

Company-paid Life/AD&D and LTD

Voluntary Life and AD&D

Voluntary Short-Term Disability

Dependent Care FSA

401(k) with employer contributions

PTO and 8 paid holidays

Job summary

Oral Surgery Partners is seeking an Insurance Coordinator to oversee insurance activities across our oral surgery practices. You will verify coverage, obtain authorizations, and handle claims processing and patient inquiries with accuracy and professionalism.

The role emphasizes compliance, detailed documentation, and collaboration with providers, insurers, and billing teams in a fast-paced setting. Prior billing or insurance coordination experience is preferred.

Qualifications

• Previous experience in insurance coordination, medical billing, or a related field.
• Familiarity with healthcare insurance policies, procedures, and regulations.
• Knowledge of relevant regulations and compliance requirements in healthcare.

Responsibilities

• Insurance Verification and Authorization: Verify patient insurance coverage and benefits; obtain pre-authorizations and referrals; ensure documentation is complete.
• Claims Processing: Prepare and submit claims; monitor status; resolve discrepancies; process patient refunds and inquiries.
• Billing and Reconciliation: Assist in billing with accurate coding; reconcile payments; identify billing errors.
• Compliance and Record Keeping: Maintain knowledge of regulations; ensure compliance; keep organized records.
• Collaboration and Coordination: Work with providers, billing, and insurers; participate in process improvements.

Skills

Strong communication

Interpersonal skills

Detail-oriented

Organizational skills

Multitasking

Claims software

Medical terminology

Healthcare practices

Fast-paced environment

Stress management

Empathy

Independent decision-making

Sound judgment

Education

High school diploma

Medical billing/coding certification

Job description

Title: Patient Coordinator
Practice: Associated Oral & Maxillofacial Surgeons
Location: Peoria, IL
Hours:

• Monday: 8:00a.m. - 4:30p.m.


• Tuesday: 8:00a.m. - 4:30p.m.


• Thursday: 8:00a.m. - 4:30p.m.


• Friday: 7:30a.m. - 2:00p.m.


• Saturday: Closed


• Sunday: Closed

Pay Range: $18.50 - $20.00 Based on experience

Position Purpose:

An insurance coordinator plays a critical role within our oral surgery practices. The Insurance Coordinator is responsible for overseeing and managing all insurance-related activities within the organization. This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills, attention to detail, and the ability to work effectively with various stakeholders, including patients, insurance companies, and healthcare providers.

Essential Functions

Insurance Verification and Authorization:

• Verify patient insurance coverage and benefits.


• Obtain pre-authorizations and referrals for services as required by insurance providers.


• Ensure that all necessary documentation is completed accurately and submitted in a timely manner.

Claims Processing:

• Prepare and submit insurance claims for reimbursement.


• Monitor and follow up on the status of submitted claims.


• Resolve any issues or discrepancies related to insurance claims and payments.


• Process patient refunds, as applicable.


• Answer patient calls and inquiries related to their insurance benefits and billing needs.


• Communicate with patients regarding their insurance coverage and financial responsibilities.


• Address and resolve patient inquiries and concerns related to insurance matters.

Billing and Reconciliation:

• Assist in billing processes and ensure accurate coding and billing for services rendered.


• Reconcile insurance payments and patient accounts.


• Identify and rectify billing errors or discrepancies.

Compliance and Record Keeping:

• Maintain up-to-date knowledge of insurance regulations and compliance requirements.


• Ensure that all activities comply with relevant laws, regulations, and organizational policies.


• Maintain accurate and organized records of insurance transactions and communications.

Collaboration and Coordination:

• Work closely with healthcare providers, billing departments, and insurance companies.


• Coordinate with other departments to streamline insurance processes and improve efficiency.


• Participate in team meetings and contribute to process improvement initiatives.

Qualifications

Education:

• High school diploma or equivalency, required.


• Certification in medical billing and coding or a related area is a plus.

Experience:

• Previous experience in insurance coordination, medical billing, or a related field is highly desirable.


• Familiarity with healthcare insurance policies, procedures, and regulations.


• Knowledge of relevant regulations and compliance requirements in healthcare.

Performance Requirements:

• Strong communication and interpersonal skills.


• Detail-oriented and thorough in task execution.


• Excellent organizational and multitasking abilities.


• Proficiency in using relevant software and systems for claims processing and record keeping.


• Knowledge of medical terminology and healthcare practices.


• Ability to work in a fast-paced environment and handle stressful situations with professionalism.


• Empathetic and patient-focused approach to care coordination.


• Independent decision-making skills and utilization of sound judgement.

What we do for you:

We offer Medical, Dental, and Vision Insurance plans to our full-time employees.

Two out of the three medical plans offered include Health Savings Account (HSA) eligibility.

Company-paid Life, AD&D and Long-Term Disability coverage.

Additional Voluntary Life and AD&D Insurance for you and your family!

Voluntary Short-Term Disability Insurance available to you as well

Dependent Care Flexible Spending Account (FSA) offered.

Immediately begin saving for retirement through our 401(k) starting with very first paycheck!

Employer 401(k) contribution and Profit Sharing after six months of employment

PTO and 8 Paid holidays for fulltime employees!

DISCLAIMER

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. OPS’s management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

As set forth in Oral Surgery Partners’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

A \"disabled veteran\" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A \"recently separated veteran\" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An \"active duty wartime or campaign badge veteran\" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An \"Armed forces service medal veteran\" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.