Optometry Claims Coordinator 1

The Ohio State University; Columbus (OH); Hybrid; USD 22,000 - 29,000; Full time

Job summary

The Ohio State University College of Optometry is seeking a Claims Coordinator to join our Billing Office team. This position is responsible for data analysis, evaluation of patient accounts, and serving as a liaison between clinic attending optometrists, patients, and third-party payers, with duties including insurance claim submission, follow-up, posting, and account reconciliation.

The Optometry Claims Coordinator requires excellent written and verbal communication skills, proficiency with

Qualifications

• High School Diploma or GED required.
• Experience with patient billing and insurance claims preferred.
• Strong communication and data-handling abilities required.

Responsibilities

• Prepare and submit billing data for vision and medical claims to insurance companies.
• Handle internal billings for safety glasses or research projects.
• Verify patient information for accuracy and update as needed.
• Collect and review referrals and pre-authorizations.
• Monitor late payments and reconcile accounts monthly.
• Follow up on missed payments and resolve discrepancies.
• Review patient bills for accuracy and request missing information.
• Investigate and appeal denied claims.
• Verify insurance benefits and coverage.

Skills

Data analysis

Communication skills

Patient billing

Insurance claim submission

Education

High School Diploma or GED

Tools

Compulink

Job description

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Job Title:Optometry Claims Coordinator 1Department:Optometry | Main Clinic

The Ohio State University College of Optometry is seeking a Claims Coordinator to join our Billing Office team. This position is responsible for a variety of tasks requiring data analysis, in-depth evaluation of patient accounts and sound judgement. Position serves as a liaison between clinic attending optometrists, patients, and 3rd party payers and as a resource for determining insurance coverage. Daily responsibilities comprise all aspects of patient billing and collection processing to include insurance claim submission, insurance follow up, payment posting, and account reconciliation.

The Optometry Claims Coordinator should be able to demonstrate excellent written and verbal communication skills, as communicating with patients, insurance parties and internal staff will form a large part of position. Position will be required to utilize standard office equipment not limited to: computers, fax machines, copiers, credit card terminals and telephones, and be able to utilize the clinic’s practice management software Compulink.

Position reports to the Manager of Patient Accounting and is expected to work independently on assigned tasks with minimal oversight. The College of Optometry Billing Office supports a hybrid work schedule which combines on-site and remote work opportunities after at least 1 year of employment. After hybrid schedule starts, when learning new tasks you may be required to be on-site until manager feels the new tasks can be completed without direct supervision.

Summarized Responsibilities Include:

• Prepare and submit billing data for vision and medical claims to insurance companies
• Internal billings for safety glasses or research projects
• Ensure patient information is accurate and up to date
• Collect and review referrals and pre-authorizations
• Monitor and record late payments monthly
• Follow up on missed payments and resolve financial discrepancies
• Examine patient bills for accuracy and request any missing information
• Investigate and appeal denied claims
• Verification of Insurance and Benefits

Minimum Required Qualifications:

• High School Diploma or GED

Additional Information:

Pay Range: $16.02 - $20.82

Salary will be based off of education, experience, internal equity, and budget allowance.

FUNCTION: Finance

SUB-FUNCTION: Revenue Cycle- Patient Accounting CAREER BAND: Individual Contributor- Technical CAREER LEVEL: T1Location:Optometry Clinic (1041)Position Type:RegularScheduled Hours:40 Shift: First Shift Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

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The university is an equal opportunity employer, including veterans and disability.