Insurance Coordinator

Singing River Health System•Gautier, MS

1d•Hybrid

About The Position

The Insurance Claims Coordinator reviews, handles, and takes appropriate action on all unpaid or denied insurance claims in excess of 30 days since submission date. This role gives special consideration to large balances and/or aged claims. The coordinator handles matters relating to account audits by insurance audit firms, providing requested information and/or disputing the outcome of findings. They work closely with insurance billers, coding, medical records, provider offices, ancillary departments, and business office personnel to achieve claim resolution. The Insurance Claims Coordinator is responsible for follow-up of designated insurance accounts, balancing accounts, identifying underpayments, finalization of insurance matters, and audits regarding certain claims.

Requirements

High school graduate or equivalent required.
Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.
Proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.
Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.
Must demonstrate keen mental faculties/assessment and decision making abilities.
Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone.
Must demonstrate strong written and verbal communication skills.
Must possess emotional stability conducive to dealing with high stress levels.
Must demonstrate ability to work under pressure and meet deadlines.
Attention to detail and the ability to multi-task in complex situations is required.
Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.
Must possess superior customer service skills and professional etiquette.

Nice To Haves

A minimum of two (2) years’ patient accounting and insurance experience preferred.
Experience in a hospital or healthcare setting preferred.

Responsibilities

Reviews, handles, and takes appropriate action on all unpaid or denied insurance claims in excess of 30 days since submission date.
Gives special consideration to large balances and/or aged claims.
Handles matters relating to account audits by insurance audit firms, providing requested information and/or disputing outcome of findings.
Works closely with insurance billers, coding, medical records, provider offices, ancillary departments and business office personnel to achieve claim resolution.
Responsible for follow up of designated insurance accounts.
Responsible for balancing accounts.
Responsible for identifying underpayments.
Responsible for finalization of insurance matters.
Responsible for audits regarding certain claims.