Insurance Claims Coordinator

• Work listings of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve billing issues delaying reimbursement
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies
• Re-file claims, request adjustments, process refunds, and take other appropriate actions
• Update patient demographic information and make system corrections to patient accounts
• Act as a liaison between patients and payers to provide clear, accurate billing and related information and expedite payment
• Conduct research and provide patients and physicians with clear, accurate account information
• Report insurance-claims trends and specific issues to management
• Recommend quality and process improvements
• Adhere to HIPAA confidentiality guidelines regarding financial and medical information
• Maintain the company's mission values and philosophy
• Perform other duties assigned by management

• High school diploma or GED
• One year of experience in a healthcare setting preferred, not required
• One year of customer service experience preferred, not required
• One year of proven collections experience preferred, not required
• Working knowledge of Microsoft Teams, Word, Excel, and Outlook
• Must reside in Ohio
• Willingness to travel to Westerville as needed
• Ability to complete 90 days of on-site training
• Knowledge of HIPAA confidentiality requirements

Demonstrates expertise in billing issue resolution, patient account analysis, and effective communication with insurance payers. Proficient in maintaining HIPAA compliance and improving billing processes.

• Billing Issue Resolution
• Patient Account Analysis
• HIPAA Compliance
• Customer Service Experience
• Microsoft Office Proficiency

• Claims Re-filing
• Account Adjustments
• Refund Processing
• Patient Demographic Updates
• Insurance Claims Reporting

• Clear Communication
• Problem Solving
• Research Skills

• High School Diploma
• GED

• Healthcare Setting
• Collections Experience
• HIPAA Confidentiality

• Microsoft Teams
• Microsoft Word
• Microsoft Excel
• Microsoft Outlook