Insurance Claim Coordinator (FT)

Columbus Regional Healthcare System•Whiteville, NC

13h

About The Position

Reviews unpaid third party payer claims and determines the reason why the claim is unpaid and arranges with the payer for the payment of the claim. Processes all correspondence and request for additional information from third party payers. Reviews all Explanation of Benefits (EOB's) to insure the hospital is paid appropriately. Provides guidance, direction, and training in claim payment techniques to other Patient Accounting employees.

Requirements

High school graduate.
Proficient in use of basic office machines and computer applications.
Knowledge of third party insurance payer requirements including billing and follow up techniques, electronic claims processing, and government regulations.
Knowledge of medical terminology, medical record coding, and patient registration techniques.
A minimum of six months related experience in insurance claim processing and insurance claim follow up.
Given training and on-the-job experience, incumbent should be proficient in the basic aspects of the job within three months

Nice To Haves

Associates degree in Business Administration.

Responsibilities

Reviews unpaid third party payer claims and determines the reason why the claim is unpaid and arranges with the payer for the payment of the claim.
Processes all correspondence and request for additional information from third party payers.
Reviews all Explanation of Benefits (EOB's) to insure the hospital is paid appropriately.
Provides guidance, direction, and training in claim payment techniques to other Patient Accounting employees.