Insurance Coordinator

Singing River Health System • Ocean Springs, MS

4d • Onsite

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. He/She 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. 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.

Nice To Haves

• A minimum of two (2) years’ patient accounting and insurance experience preferred.
• Experience in a hospital or healthcare setting preferred.
• Superior customer service skills and professional etiquette.

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.

What This Job Offers

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