Insurance Coordinator

Oral Surgery Partners; Johnson City (TN); In loco; USD 42.000 - 61.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental & Vision insurance

HSA-eligible plans

Company-paid Life, AD&D & LTD

Voluntary Life & AD&D

Voluntary Short-Term Disability

Dependent Care FSA

401(k) with company match & Profit-Sh

PTO & 8 paid holidays

Descrizione del lavoro

Oral Surgery Partners in Johnson City, TN is seeking an Insurance Coordinator to oversee insurance activities for our oral surgery practice. You will verify coverage, obtain pre-authorizations, submit claims, and handle patient inquiries while ensuring accuracy and regulatory compliance.

Strong communication, attention to detail, and the ability to work with patients, insurers, and providers are essential. This is a full-time on-site role in a fast-paced clinical setting.

Competenze

• High school diploma or equivalency required.
• Certification in medical billing and coding is a plus.
• Experience in insurance coordination or medical billing is desirable.
• Knowledge of healthcare regulations and compliance.

Mansioni

• Verify patient insurance coverage and benefits; obtain authorizations.
• Prepare and submit insurance claims; monitor status and follow-ups.
• Assist in billing processes and reconcile patient accounts.
• Maintain compliant records of insurance transactions and communications.
• Collaborate with providers, billing and insurance companies.

Conoscenze

Communication

Detail-oriented

Organizational skills

Multitasking

Healthcare terminology

Formazione

HS Diploma or GED

Medical Billing & Coding Certification (plus)

Descrizione del lavoro

Title: Insurance Coordinator
Practice: Associated Oral & Implant Surgeons
Location: Johnson City, TN
Hours:

• Monday:8:00 AM - 4:00 PM
• Tuesday:8:00 AM - 4:00 PM
• Thursday: 8:00 AM - 4:00 PM
• Friday: 8:00 AM - 1:00 PM
• Saturday: Closed
• Sunday: Closed

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. OSP’s management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

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.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

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.