Optometry Claims Coordinator 1

The Ohio State University•Columbus, OH

5d•$16 - $21•Hybrid

About The Position

The Ohio State University College of Optometry is seeking a Claims Coordinator to join its Billing Office team. The position performs tasks involving data analysis, in-depth evaluation of patient accounts, and sound judgment. It serves as a liaison among clinic attending optometrists, patients, and third-party payers, and provides a resource for determining insurance coverage. Daily work includes patient billing and collections, including insurance claim submission, insurance follow-up, payment posting, and account reconciliation. The coordinator communicates with patients, insurance parties, and internal staff and uses standard office equipment and the clinic's Compulink practice management software. The position reports to the Manager of Patient Accounting and handles assigned tasks independently with minimal oversight. The Billing Office supports a hybrid schedule combining on-site and remote work after at least one year of employment. When learning new tasks after the hybrid schedule begins, the employee may need to work on-site until the manager determines the tasks can be completed without direct supervision.

Requirements

High school diploma or GED.
Excellent written and verbal communication skills.
Ability to use standard office equipment, including computers, fax machines, copiers, credit card terminals, and telephones.
Ability to use the clinic's Compulink practice management software.

Responsibilities

Prepare and submit billing data for vision and medical claims to insurance companies.
Handle internal billings for safety glasses or research projects.
Ensure patient information is accurate and up to date.
Collect and review referrals and pre-authorizations.
Monitor and record late payments monthly.
Follow up on missed payments and resolve financial discrepancies.
Examine patient bills for accuracy and request missing information.
Investigate and appeal denied claims.
Verify insurance coverage and benefits.
Perform insurance follow-up, payment posting, and account reconciliation.