Insurance Claims Coordinator

Central Ohio Primary Care is seeking an Insurance Claims Coordinator at our Central Business Office in Westerville, OH. This position is responsible for working claims that have been denied by insurance carriers, including processing appeals and providing any additional information necessary to obtain reimbursement. This is a full time, benefits eligible position working Monday- Friday first shift hours. After training this will be a fully remote position.  Must reside in the State of Ohio and willing to travel to Westerville as needed.

Duties/Responsibilities:

• Work listing of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve any billing issues that delay reimbursement.
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies. Take appropriate actions as needed such as re-filing claims, requesting adjustments, refunds, etc.
• Update patient demographic information and make any necessary system corrections to the patient account.
• Act as a liaison between patient and payer when needed to provide patient and/or payer with clear and accurate billing information or other pertinent information to expedite payment.
• Conduct research to provide patient and/or physician with clear and accurate account information.
• Report trends or specific issues to management regarding insurance claims.
• Recommend quality and/or process improvement initiatives in order to more effectively and efficiently perform the job functions of this position.
• Adhere to the HIPAA guidelines regarding confidentiality relating to the release of financial and medical information.
• Maintain the values and philosophy of the mission statement of the company.
• Performs all other duties as assigned by management.

Requirements:

• High School diploma or GED
• 1 year experience in a health care setting preferred, not required
• 1 year experience in customer service preferred, not required
• 1 year proven experience in collections preferred, not required
• Working knowledge of Microsoft Teams, Word, Excel and Outlook
• Must reside in Ohio