Central Ohio Primary Care ยท 1 month ago
Insurance Claims Coordinator
Central Ohio Primary Care is seeking an Insurance Claims Coordinator responsible for processing denied insurance claims and handling appeals. The role involves analyzing patient accounts, resolving billing issues, and acting as a liaison between patients and payers to ensure timely reimbursement.
Health CarePrimary and Urgent Care
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
Qualification
Required
High School diploma or GED
Working knowledge of Microsoft Teams, Word, Excel and Outlook
Must reside in Ohio
Preferred
1 year experience in a health care setting
1 year experience in customer service
1 year proven experience in collections
Benefits
Full Time/Benefits Eligible
Company
Central Ohio Primary Care
Founded in 1996 by a dedicated group of 33 physicians, Central Ohio Primary Care (COPC) set out to prioritize patient care over administrative burdens.
Funding
Current Stage
Late StageRecent News
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