Insurance Claims Coordinator

Central Ohio Primary Care•Westerville, OH

2d•Hybrid

About The Position

The Insurance Coordinator works insurance claims that have been denied by carriers, including processing appeals and supplying additional information needed to obtain reimbursement. Following training, the position is fully remote. The employee must reside in Ohio and be willing to travel to Westerville as needed. Training takes place in the Westerville office for 2–3 weeks. The role is onsite in Westerville for the first 90 days, then remote. This is a full-time, benefits-eligible position with a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m.

Requirements

High school diploma or GED.
Must reside in Ohio.
Working knowledge of Microsoft Teams, Word, Excel, and Outlook.

Nice To Haves

One year of experience in a health care setting; preferred but not required.
One year of customer service experience; preferred but not required.
One year of proven experience in collections; preferred but not required.

Responsibilities

Work listings of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve billing issues delaying reimbursement.
Analyze patient accounts, identify billing issues, and determine solutions with insurance companies; take appropriate actions such as refiling claims, requesting adjustments, and issuing refunds.
Update patient demographic information and make necessary system corrections to patient accounts.
Act as a liaison between patients and payers as needed, providing clear and accurate billing or other pertinent information to expedite payment.
Conduct research to provide patients and/or physicians with clear and accurate account information.
Report trends or specific issues regarding insurance claims to management.
Recommend quality or process improvement initiatives to perform job functions more effectively and efficiently.
Adhere to HIPAA confidentiality guidelines regarding the release of financial and medical information.
Maintain the values and philosophy of the company's mission statement.
Perform other duties as assigned by management.