Claims Coordinator, Enterprise jobs in United States
cer-icon
Apply on Employer Site
company-logo

Kindbody · 20 hours ago

Claims Coordinator, Enterprise

Kindbody is a leading fertility clinic network and global family-building benefits provider for employers. The Claims Coordinator role focuses on managing accounts receivable activities, ensuring timely follow-up on unpaid claims, and maintaining strong customer relations with patients regarding medical claims and payments.

Employee BenefitsFertilityHealth CareMedical

Responsibilities

Ensure and manage timely follow up on all unpaid claims utilizing monthly aging reports
Effective communication abilities for phone contacts with insurance payers to resolve issues
Demonstrate customer service skills for interacting with patients regarding medical claims and payments
Oversee and perform research to resolve any discrepancies, denials, rejections, collections
Manage and set up patient payment plans and work collection accounts
Review patient bills for accuracy and completeness and obtain any missing information
Oversee and manage the posting of payments
Oversee and process insurance payments, including balance billing to secondary insurance and/or directly to patients
Analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims
Properly note the system and maintain all documentation required for compliant claim submission
Respond to a high volume of inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes
Meet positional metrics and benchmarks
Maintain the highest degree of ethics when handling patient payments and bill processing
Follow all department standard operating procedures carefully and accurately
Other duties as assigned by supervisor
Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion
Maintain clear communication and collaborate with stakeholders across the Enterprise team
Other duties and projects as assigned

Qualification

Accounts ReceivableCPTICD-9 CodingMedical TerminologyCustomer ServiceMicrosoft ExcelCommunication SkillsOrganizational SkillsTeam PlayerProblem SolvingDetail-oriented

Required

3-4+ years of health plan / medical insurance accounts receivable experience in a fast-paced, customer-focused environment, with fertility clinic experience a plus
Strong written and verbal communication skills & a team player
Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
Detail-oriented with strong organizational skills
Exemplifies amazing customer service skills and professionalism
Experience in CPT and ICD-9 coding; familiarity with medical terminology
Ability to manage relationships with various insurance payers
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
Intermediate experience in Microsoft Excel
Certificate from an accredited medical and billing school

Preferred

Experience in the employer benefits space is a plus
A passion for women's health, and fertility is a plus

Company

Kindbody

company-logo
Kindbody is a fertility clinic network and family-building benefits provider for employers.

Funding

Current Stage
Late Stage
Total Funding
$306.33M
Key Investors
Morgan HealthPerceptive AdvisorsClaritas Health Ventures
2023-05-01Series Unknown· $25M
2023-03-02Debt Financing· $100M
2022-09-06Series C· $26.67M

Leadership Team

leader-logo
Annbeth Eschbach
Chief Executive Officer
linkedin
leader-logo
Richard Forsythe
Chief Technology Officer
linkedin
Company data provided by crunchbase