Optometry Claims Coordinator 1

Ohio State University; North Carolina; Hybrid; USD 22,000 - 29,000; Full time

Job summary

Ohio State University College of Optometry is seeking an Optometry Claims Coordinator to join our Billing Office. The role involves managing vision and medical claims, verifying insurance, and collecting payments within a hybrid work schedule after 1 year of employment.

Strong written and verbal communication will be essential to liaise with patients, clinicians, and third-party payers. Daily duties include claim submission, follow-up on denials or late payments, and account reconciliation using

Qualifications

• High School Diploma or GED is required.
• Experience with data analysis and patient accounts is preferred but not required.

Responsibilities

• 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

Education

High School Diploma or GED

Tools

Compulink

Job description

Job Title

Optometry Claims Coordinator 1

Department

Optometry | Main Clinic

Position Description

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.

Responsibilities

• 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

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.

Employment Details

• FUNCTION: Finance
• SUB-FUNCTION: Revenue Cycle- Patient Accounting
• CAREER BAND: Individual Contributor- Technical
• CAREER LEVEL: T1
• Location: Optometry Clinic (1041)
• Position Type: Regular
• Scheduled Hours: 40
• Shift: First Shift

Background Check

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Equal Opportunity

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