Insurance Coordinator

Singing River Health System; Gautier (MS); On-site; USD 42,000 - 56,000; Full time

Job summary

Singing River Health System in Mississippi is seeking an Insurance Claims Coordinator to review unpaid or denied claims older than 30 days and coordinate with billing, coding, and medical records to resolve accounts.

Requires high school diploma and at least two years of patient accounting/insurance experience; de-escalation training within 90 days; familiarity with MS Outlook and Word; hospital setting preferred.

Qualifications

• High school diploma or equivalent required.
• Minimum of 2 years of patient accounting and insurance experience preferred.
• Experience in a hospital or healthcare setting preferred.
• Must complete de-escalation training by end of orientation (90 days).

Responsibilities

• Review, handle and take action on unpaid or denied insurance claims older than 30 days.
• Coordinate with insurance billers, coding, medical records, provider offices and business office personnel to resolve claims.
• Follow up designated accounts, balance accounts, identify underpayments and audits as needed.
• Adapt to policy changes as management reserves the right to revise duties.

Skills

De-escalation training

Education

High school diploma or equivalent

Tools

MS Outlook

MS Word

Job description

Job Description Summary

At Singing River Health System, caring isn't just part of the job - it's in our DNA. Whether we're saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day. With pride, passion, and commitment, we will improve health and save lives in our community every day.

Shift: Monday-Friday (8AM to 5PM) Location: Lingle Building

Job Description

The Insurance Claims Coordinator reviews, handles and takes appropriate action on all unpaid or denied insurance claims in excess of 30 days since submission date. He/She gives special consideration to large balances and/or aged claims; handles matters relating to account audits by insurance audit firms providing requested information and/or disputing outcome of findings; works closely with insurance billers, coding, medical records, provider offices, ancillary departments and business office personnel to achieve claim resolution. The Insurance Claims Coordinator is responsible for follow up of designated insurance accounts, balancing accounts, identifying underpayments, finalization of insurance matters, and audits regarding certain claims.

DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.

Education

High school graduate or equivalent required.

License

N

Certifications

Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.

Experience

A minimum of two (2) years' patient accounting and insurance experience preferred. Experience in a hospital or healthcare setting preferred.

Reports to

Denials Supervisor and Denials and Appeals Manager

Supervises

None

Physical Demands

Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.

Mental Demands

Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.

Special Demands

Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word. Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.

If you're looking for purpose, teamwork, and a place where what you do truly matters, you've found it. Let's do big things together.