What are the responsibilities and job description for the Coordinator Claims position at Abacus Service Corporation?

Description / Comment : ACTUAL JOB TITLE : Coordinator Claims

Work hours : - : pm / lunch

Brand; Eyemd-Team Vision

Temp to Perm

Start Date : ASAP

Duration : / / - temp to hire

HYBRID : Mason OH - x a week

GENERAL FUNCTION

The Medical Claims Coordinator is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple insurance carriers Review open / unpaid claim balances and take required action.

MAJOR DUTIES & 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 evidence of benefits (EOBs) to post claim payments and denials in the EHR system.
Determine if denied claims can be adjusted 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.
Write-off open claim balances in the EHR system.
Serve as the point of contact for the practice regarding all medical claims.
Support the corporate manager in maximizing claim collection rate.

BASIC QUALIFICATIONS

High school diploma

years of related work experience

Experience with medical vision claims and coding

Ability to prioritize handling of issues

Organization skills and ability to multitask

Effective communication skills (verbal, written, listening, presentation)

Specific Skills Needed :

Top - mandatory and / or minimum requirements : experience with medical vision claims coding and billing and cash apply experience

Top - desirable attributes / qualifications? Vision billing experience

Required levels / Years of Experience education – discuss whether there is flexibility : years medical billing experience. HS diploma

Missing Equipment fee will be access if equipment is not returned - $

EYEMED ONLY : As part of your contractor's compliance while working in the EyeMed department, the OIG / GSA / OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to by the th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date / time the screening was performed are all visible (this is required for all types of screenings). Screenshots of completed training is required during st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training ( for Compliance purposes and for HiTrust / Security requirements) is required during first weeks and completed passport to be sent to manager, supplier and C) Start Time : : AM Hours : - : pm / lunch Location : CINCINNATI SERVICE CENTER LUXOTTICA PL MASON OH Education : Additional Job Details :

of positions Needed :

Job Title : Coordinator Claims

Job Description : Responsible for billing medical claims, applying cash and working the aged trial balance (fix and resubmit claims to insurance)

Work hours : - : with ⁄ hour lunch

Brand : Eyemed - Team Vision

Temp or Temp to perm : Temp to perm

Start date : ASAP

Length of assignment : Through August and then evaluate for hire.

Location Address :

Remote or Onsite : remote Monday and Friday. In Mason office Tues-Thurs.

o If onsite, please indicate if hybrid or workplace only

Specific Skills Needed :

Top - mandatory and / or minimum requirements : experience with medical vision claims coding and billing and cash apply experience

Top - desirable attributes / qualifications? Vision billing experience

Required levels / Years of Experience education – discuss whether there is flexibility : years medical billing experience. HS diploma. EYEMED ONLY : As part of your contractor's compliance while working in the EyeMed department, the OIG / GSA / OFAC screening is an additional requirement for EyeMed positions. It should be conducted prior to placement and once a month thereafter. The results should be emailed to by the th of each month and we again ask that you house each file internally for auditing purposes. EyeMed needs full screenshots where the website link and the date / time the screening was performed are all visible (this is required for all types of screenings). Screenshots of completed training is required during st week of hire. Screenshots are to be kept in file and sent to PMO to upload into IQN. Eyemed Mandatory Training ( for Compliance purposes and for HiTrust / Security requirements) is required during first weeks and completed passport to be sent to manager, supplier and C) Missing Equipment fee will be access if equipment is not returned - $

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