CTC · 21 hours ago
Medical Claims Coordinator
Paramus, NJ, US
Full-time
Hybrid
Mid Level
3+ years expCTC is a trusted global partner in AI & ML, Enterprise Applications, Digital Services, Managed Services, and Business Services. They are seeking a Medical Claims Coordinator responsible for monitoring insurance carrier adjudication of medical claims and managing the billing process for doctor practices.
AnalyticsConsultingProduct ResearchTraining
Responsibilities
Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house
Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier
Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system
Determine if denied claims can be corrected and re-submitted to the carrier
Review aging reports to research open balances and resubmit within insurance carrier filing limits
Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status
Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system
Initiate overpayment refunds to patients and repayments to insurance carriers when required
Serve as the point of contact for the practice regarding all vision and medical claims
Support the corporate manager in maximizing claim collection rate
Qualification
Required
High school diploma
3+ years of related work experience
Experience with medical billing and coding
Ability to prioritize handling of issues
Organization skills and ability to multitask
Effective communication skills (verbal, written, listening, presentation)
Company
CTC
CTC engages in cross-disciplinary business activities that respond to the research, scientific, technological, creative and educational needs of the leather, leather goods, footwear, apparel and textile industries.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase