What are the responsibilities and job description for the Medical Claims Coordinator position at Diversity Nexus?
Job title: Medical Claims Coordinator/Processor
Location: Mason OH - HYBRID
Contract : 7 Month Contract – 100% Extensions
Note : HYBRID: Mason OH - 3x a week- Work hours: 8-4:30 pm - 1/2 lunchSpecific Skills Needed:
- Top 3-5 mandatory and/or minimum requirements: experience with medical vision claims coding and billing and cash apply experience
Top 3-5 desirable attributes/qualifications? Vision billing experience
- Required levels/ Years of Experience education – discuss whether there is flexibility: 5 years medical billing experience. HS diploma
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
- 3 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)
Best Regards,
Subhash V
Talent Acquisition Specialist
subhash@diversitynexus.net
732-782-5488
Job Type: Contract
Pay: $19.00 - $20.00 per hour
Expected hours: 25 per week
Schedule:
- Day shift
Work Location: Hybrid remote in OH 45040, United States
Salary : $19 - $20
