Optometry Claims Coordinator

Position: Optometry Claims Coordinator 1
The Ohio State University College of Optometry is seeking a Claims Coordinator to join our Billing Office team. This position is responsible for a variety of tasks requiring data analysis, in-depth evaluation of patient accounts and sound judgement. Position serves as a liaison between clinic attending optometrists, patients, and 3rd party payers and as a resource for determining insurance coverage.

Daily responsibilities comprise all aspects of patient billing and collection processing to include insurance claim submission, insurance follow up, payment posting, and account reconciliation.  The Optometry Claims Coordinator should be able to demonstrate excellent written and verbal communication skills, as communicating with patients, insurance parties and internal staff will form a large part of position. Position will be required to utilize standard office equipment not limited to: computers, fax machines, copiers, credit card terminals and telephones, and be able to utilize the clinic’s practice management software Compulink.  

Position reports to the Manager of Patient Accounting and is expected to work independently on assigned tasks with minimal oversight. The College of Optometry Billing Office supports a hybrid work schedule which combines on-site and remote work opportunities after at least 1 year of employment.  After hybrid schedule starts, when learning new tasks you may be required to be on-site until manager feels the new tasks can be completed without direct supervision.  

Summarized

Responsibilities Include:

* Prepare and submit billing data for vision and medical claims to insurance companies
* 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 any missing information
* Investigate and appeal denied claims
* Verification of Insurance and Benefits  
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* Minimum Required Qualifications:

*** High School Diploma or GED