Insurance Coordinator

Oral Surgery Partners; Hamden (CT); On-site; USD 24,796 - 27,552; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

HSA eligible plans

Company-paid Life/AD&D/LTD

Voluntary Life and AD&D for you and /+

Voluntary Short-Term Disability

Dependent Care FSA

401(k) with company match

PTO & 8 paid holidays

Job summary

Coastal Connecticut Oral & Maxillofacial Surgery seeks an Insurance Coordinator in Hamden, CT. The role oversees insurance activities, from verification and pre-authorizations to claims submission and patient inquiries. Strong communication, attention to detail, and cross-team collaboration are essential.

Full-time, on-site position with Monday–Friday hours. Benefits include comprehensive medical/dental/vision coverage and retirement options.

Qualifications

• High school diploma or equivalent required.
• Certification in medical billing and coding is a plus.
• Experience in insurance coordination, medical billing, or related field preferred.

Responsibilities

• Verify patient insurance coverage and benefits.
• Obtain pre-authorizations and referrals as needed.
• Prepare and submit insurance claims; monitor status and follow up.
• Communicate with patients about insurance coverage and financial responsibilities.
• Assist in billing processes with accurate coding and reconciliation.
• Maintain regulatory compliance and proper record keeping.
• Collaborate with providers, billing staff, and insurers.

Skills

Communication skills

Detail-oriented

Organizational skills

Multitasking

Medical terminology

Education

High school diploma or equivalent

Medical billing/coding certification (plus)

Tools

Medical billing software

Job description

Title: Insurance Coordinator
Practice: Coastal Connecticut Oral & Maxillofacial Surgery
Location: Hamden, Connecticut

Hours:

• Monday, Tuesday, Thursday, Friday 8:00am - 4:00pm
• Wednesday 8:00am - 12:00pm

Pay Range: $18.00 - $20.00 per hour 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.

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.

Patient Communication

• 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

• Approachable, professional demeanor
• 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.