What are the responsibilities and job description for the Claims Coordinator position at Bernard Nickels & Associates?
Type : Contract to Hire / Temp to Perm (Full-Time)
Start Date : ASAP
End Date : Contract / Temp through August 2025 (then will evaluate for Full-Time conversion)
Location : Mason, OH (HYBRID position; in-office Tuesdays through Thursdays each week)
Schedule : Monday-Friday, 8 : 00am-4 : 30pm (40 hours per week)
Pay Range : $18 to $20 per hour
GENERAL FUNCTION :
The Claims Coordinator is responsible for monitoring insurance carrier adjudication of 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 :
Salary : $18 - $20
