Remote Insurance Claims Specialist - Ohio

Central Ohio Primary Care Physicians,Inc; Westerville (OH); Hybrid; USD 42,000 - 56,000; Full time

Job summary

Central Ohio Primary Care Physicians, Inc. is seeking an Insurance Coordinator to manage denied claims, appeals, and information requests to secure reimbursement. The role begins with on-site training and transitions to remote work after 90 days; Ohio residency and travel to Westerville as needed are required.

You will handle aged accounts, communicate with payers, update patient data, and collaborate with teams to resolve billing issues while maintaining HIPAA compliance and company policies.

Qualifications

• High School diploma or GED.
• 1 year experience in a health care setting preferred, not required.
• 1 year experience in customer service preferred, not required.
• 1 year proven experience in collections preferred, not required.
• Working knowledge of Microsoft Teams, Word, Excel and Outlook.

Responsibilities

• Work listing of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve any billing issues that delay reimbursement.
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies. Take appropriate actions as needed such as re-filing claims, requesting adjustments, refunds, etc.
• Update patient demographic information and make any necessary system corrections to the patient account.
• Act as a liaison between patient and payer when needed to provide patient and/or payer with clear and accurate billing information or other pertinent information to expedite payment.
• Conduct research to provide patient and/or physician with clear and accurate account information.
• Report trends or specific issues to management regarding insurance claims.
• Recommend quality and/or process improvement initiatives in order to more effectively and efficiently perform the job functions of this position.
• Adhere to the HIPAA guidelines regarding confidentiality relating to the release of financial and medical information.
• Maintain the values and philosophy of the mission statement of the company.
• Performs all other duties as assigned by management.

Skills

Microsoft Teams

Word

Excel

Outlook

Education

High School diploma or GED

Job description

Central Ohio Primary Care Physicians, Inc. is seeking an Insurance Coordinator to manage denied claims, appeals, and information requests to secure reimbursement. The role begins with on-site training and transitions to remote work after 90 days; Ohio residency and travel to Westerville as needed are required.

You will handle aged accounts, communicate with payers, update patient data, and collaborate with teams to resolve billing issues while maintaining HIPAA compliance and company policies.