INSURANCE CLAIMS COORDINATOR

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Familiarize self with all billing requirements of each insurance provider
• Submit claims weekly for payment
• Review and clear all clearing house rejections
• Call weekly on outstanding receivables from insurance providers; work aggressively to collect all past due amounts owed
• Reprocess claims as necessary to receive payment
• Post all payments to the system of record to ensure accuracy

COMPETENCIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Intellectual

• Identify and define multiple variables within a situation and determine an efficient and effective solution that addresses all variables
• Be adaptive and pivot between various tasks in a fast-paced environment

Interpersonal

• Having excellent oral and written communication skills to work with others to identify and solve problems.

Leadership

• Critically think to come up with reasonable solutions where no solution currently exists
• Communicate questions or potential issues to team members in an appropriate manner

Organization

• Maintain organizational tools to keep transparent view of work in progress
• Monitoring and adjusting all variables correctly to update a changes accurately

Self-Management

• Ability to take initiative to complete assigned work by the deadline assigned
• Ability to forecast time estimation to complete tasks

Language, Math, and Reasoning

• Write in correct grammar in a concise and understandable manner

EDUCATION, EXPERIENCE, and TRAINING:

• Minimum 5 years’ experience with Medical Billing
• Minimum 5 years’ experience working Insurance Accounts Receivable
• Meticulous attention to detail
• Ability to work aggressively to obtain payments
• Team-oriented individual who checks ego at the door
• Motivated self-starter with drive to get things done
• Insurance industry experience preferred

CERTIFICATES, LICENSES, REGISTRATIONS:

• No specific requirements

COMPUTER SKILLS:

• Proficient with Microsoft O365

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee must occasionally lift and /or move up to 25 pounds.
• While performing the duties of this job, the employee is regularly required to sit; talk; hear.

• While performing the duties of this job, the employee is frequently required to reach with hands and arms.
• While performing the duties of this job, the employee is occasionally required to stand; walk; use hands to finger, handle, or feel.

VISION REQUIREMENTS:

• There are no special vision requirements.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• This position works in an environment with moderate noise level. (Examples: business office with computers and printers, light traffic.)

COMPENSATION: $25.00 PER HOUR