Insurance Coordinator

Orthopaedic & Spine Center of the Rockies•Fort Collins, CO

19d•$20 - $25

About The Position

The Insurance Coordinator manages all aspects of assigned insurance carriers, including entering practice and surgery charges, delivering receipts to insured patients, and investigating rejected claims to determine how to correct, resubmit, and follow up. The role communicates insurance policy changes, maintains current reference materials, and ensures compliance with carrier rules and regulations. The coordinator meets with patients to discuss insurance benefits and eligibility, helps address outstanding balances, and implements external training programs for patients. The position also maintains accounts receivable aging, audits claims, and performs collection work as needed. OCR is hiring for two open positions. The work environment is a typical office, with regular distractions and interruptions from staff, patients, vendors, telephones, and surrounding conversations. The employee may sit and use their hands for up to eight hours per day and may occasionally stand, walk, reach, stoop, kneel, crouch, crawl, and lift or move up to 25 pounds. Applications are accepted until the position is filled; applicants are encouraged to apply by November 5, 2026 for full consideration.

Requirements

High school diploma or equivalent.
At least one year of experience in the insurance or medical industry, or equivalent collections experience in a business or accounting department.
Core competencies in quality, attention to detail, communication, teamwork, and confidentiality.

Nice To Haves

Knowledge of medical terminology.

Responsibilities

Follow up promptly on denials, suspended claims, and significant reimbursement reductions, pursuing available options to obtain payment.
Maintain current reference materials and understand the insurance rules and regulations for assigned carriers to ensure compliance.
Communicate changes in insurance policies to the supervisor for distribution to other staff.
Maintain positive accounts receivable for assigned carriers and consistently resolve collection work on primary and secondary claims.
Identify accounts for outside collection in a timely manner and prepare paperwork for physician review and submission to a collection agency when applicable.
Maintain a general understanding of carriers assigned to other insurance coordinators and communicate necessary changes or adjustments.
Meet with patients before surgery regarding insurance benefits and eligibility, and discuss outstanding patient balances.
Establish patient payment arrangements according to supervisor-established guidelines and follow department protocol for exceptions.
Prepare account adjustments for assigned carriers as needed and submit them to the supervisor for approval and weekly processing.
Take primary responsibility for answering the business outside phone line.
Communicate concerns, risk management issues, protocol breakdowns, and constructive criticism to the supervisor; follow the supervisor-established chain of command for business-office protocol issues.