Insurance Coordinator

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

1d

About The Position

Orthopaedic & Spine Center of the Rockies (OCR) is hiring Insurance Coordinators to manage assigned insurance carriers and support accurate, timely reimbursement. The role includes entering practice and surgery charges, providing receipts to insured patients, and researching rejected claims to determine how to correct, refile, and follow up. The coordinator keeps insurance reference materials current, communicates policy changes, and ensures compliance with carrier rules and regulations.

The Insurance Coordinator meets with patients to discuss insurance benefits and eligibility, including before surgery, and addresses outstanding patient balances. The position maintains accounts receivable aging, audits claims, performs collection work, and establishes patient payment arrangements in accordance with departmental guidelines. Two positions are open. The role is based in a typical office environment with frequent distractions and interruptions.

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

Benefits

• Medical, dental, and vision coverage.
• Life and AD&D insurance.
• Short- and long-term disability coverage.
• Retirement savings and profit-sharing plan participation.
• Employee Assistance Program.
• Paid holidays and paid time off.
• Company-sponsored events.
• Annual merit increases.
• Benefit eligibility depends on employment status, and a waiting period may apply.

What This Job Offers

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