Insurance Coordinator

Oral Surgery Partners • Omaha, NE

4d • Onsite

About The Position

The Insurance Coordinator oversees and manages insurance-related activities within an oral surgery practice. The role includes verifying patient coverage and benefits, obtaining authorizations and referrals, preparing and following up on claims, resolving payment or billing discrepancies, processing applicable refunds, and responding to patients’ questions about coverage and financial responsibilities. The coordinator also supports billing and account reconciliation, maintains accurate records, stays current on insurance regulations and compliance requirements, and collaborates with healthcare providers, billing teams, insurance companies, and other departments to improve insurance processes.

Requirements

• High school diploma or equivalency required.
• Strong communication and interpersonal skills.
• Detail-oriented and thorough task execution.
• Excellent organizational and multitasking abilities.
• Proficiency with relevant software and systems for claims processing and record keeping.
• Knowledge of medical terminology and healthcare practices.
• Ability to work in a fast-paced environment and handle stressful situations professionally.
• Empathetic, patient-focused approach to care coordination.
• Independent decision-making skills and sound judgment.

Nice To Haves

• Certification in medical billing and coding or a related area.
• Previous experience in insurance coordination, medical billing, or a related field is highly desirable.
• Familiarity with healthcare insurance policies, procedures, and regulations.
• Knowledge of healthcare regulations and compliance requirements.

Responsibilities

• Verify patient insurance coverage and benefits.
• Obtain pre-authorizations and referrals as required by insurance providers.
• Ensure required documentation is accurate and submitted on time.
• Prepare and submit insurance claims for reimbursement.
• Monitor submitted claims and follow up on their status.
• Resolve insurance claim and payment issues or discrepancies.
• Process patient refunds when applicable.
• Answer patient calls and inquiries about insurance benefits and billing needs.
• Communicate insurance coverage and financial responsibilities to patients.
• Address and resolve patient concerns related to insurance matters.
• Assist with billing and ensure accurate coding and billing for services rendered.
• Reconcile insurance payments and patient accounts.
• Identify and correct billing errors or discrepancies.
• Maintain current knowledge of insurance regulations and compliance requirements.
• Ensure work complies with applicable laws, regulations, and organizational policies.
• Maintain accurate, organized records of insurance transactions and communications.
• Work with healthcare providers, billing departments, and insurance companies.
• Coordinate with other departments to streamline insurance processes and improve efficiency.
• Participate in team meetings and contribute to process improvement initiatives.

Benefits

• Medical, dental, and vision insurance plans for full-time employees; two of the three medical plans include HSA eligibility.
• Company-paid life, AD&D, and long-term disability coverage.
• Voluntary life and AD&D insurance for employees and their families.
• Voluntary short-term disability insurance.
• Dependent care flexible spending account (FSA).
• 401(k) available starting with the first paycheck.
• Employer 401(k) contribution and profit sharing after six months of employment.
• PTO and eight paid holidays for full-time employees.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED