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Insurance Coordinator
Location
United States
Posted
86 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Insurance Coordinator
Carolina Health Specialists
Role Description INSURANCE COORDINATOR needed for busy medical practice in Myrtle Beach. Remote position. Must have excellent computer and customer service skills. Hours are MON.-THURS. 7:45AM-5:15PM; FRI. 8:00AM-12:00PM. No nights or weekends! General Summary of Duties: - Responsible for payment of claims using established Central Billing Office policies and procedures. - Work unpaid/denied claims by payers. - Review and work paid claims for reimbursement accuracy. - Interact with office/clinical staff, patients, and healthcare plan representatives regarding these claims. Typical Physical Demands: - Requires sitting for long periods of time and working in an office environment. - Some bending and stretching required. - Working with telephone and computer required. - Manual dexterity required for use of calculator, mouse, and computer keyboard. Typical Working Conditions: - Normal office environment. Examples of Duties: - Researches all outstanding claims through the claims worklist in Athenanet. - Acts as resource to physicians and office staff on insurance payer payment policies and procedures. - Ensures timely response from payers of assigned claims. - Researches correspondence and refund/recoupment requests from insurance carriers in a timely manner and ensures payer contract language is followed by both parties. - Responds to all claim denials for research and appeal according to CBO policies and procedures. - Brings problems to the attention of supervisor. - Assists with answering patient questions regarding their specific insurance plan. - Implements special projects with payer representatives as needed for proper processing of claims. - Participates in educational activities. - Maintains strictest confidentiality abiding by HIPAA regulations. - Performs related work as required. Qualifications - Knowledge of billing procedures, insurance policy and procedures, and outpatient office/clinical operating policies and procedures. - Skill in using computer and calculator. - Ability to examine documents for accuracy and completeness. - Ability to prepare records in accordance with detailed instructions. - Ability to work effectively with co-workers and patients. - Ability to communicate clearly. Requirements - High school diploma or GED. - Two years experience in healthcare organization. - One year of experience directly involving third payers and insurance companies. - CPC-A or CPC through AAPC preferred but not prerequisite. Benefits - Excellent pay and benefits including paid holidays, PTO, and sick time. - Medical, dental, and vision insurance. - Short & long-term disability. - Employee assistance program. - Company paid life insurance. - Pre-paid legal and identity theft protection. - Pet insurance. - 401k offered.
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