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Singing River Health System · 1 month ago

Insurance Claims Coordinator

Greater Biloxi Area

Full-time

Onsite

Entry Level

2+ years exp

Singing River Health System is a healthcare provider seeking an Insurance Claims Coordinator to manage unpaid or denied insurance claims. The role involves reviewing claims, coordinating with various departments for resolution, and ensuring compliance with audits.

Health CareHospitalMedicalNon ProfitSports

Responsibilities

Reviews, handles and takes appropriate action on all unpaid or denied insurance claims in excess of 30 days since submission date

Gives special consideration to large balances and/or aged claims

Handles matters relating to account audits by insurance audit firms providing requested information and/or disputing outcome of findings

Works closely with insurance billers, coding, medical records, provider offices, ancillary departments and business office personnel to achieve claim resolution

Is responsible for follow up of designated insurance accounts

Balancing accounts

Identifying underpayments

Finalization of insurance matters

Audits regarding certain claims

Qualification

Patient accounting experienceInsurance claims handlingHealthcare experienceCustomer service skillsMulti-taskingComputer proficiencyMS OutlookMS WordCommunication skillsAttention to detail

Required

High school graduate or equivalent required

Must demonstrate keen mental faculties/assessment and decision making abilities

Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone

Must demonstrate strong written and verbal communication skills

Must possess emotional stability conducive to dealing with high stress levels

Must demonstrate ability to work under pressure and meet deadlines

Attention to detail and the ability to multi-task in complex situations is required

Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations

Must possess superior customer service skills and professional etiquette

Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word

Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages