Coordinator- Claims-- Mason OH

JOB TITLE: Coordinator- Claims

Work Hours: 8-4:30pm
Hybrid - 2 days onsite (Tuesday - Thursday on site) in Mason OH 3 days WFH

Duration: 3-6 Months Contract to Hire

MAJOR DUTIES & RESPONSIBILITIES

· Reviewmedical claims and transmit to the insurance carrier using the 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 vision and medical claims.

· Support the corporate manager in maximizing claim collection rate.

BASIC QUALIFICATIONS

· 3 years of related work experience

· Experience with medical vision claims and coding

· Ability to prioritize handling of issues

· Organizational skills and ability to multitask

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

· Proven ability to identify issues and solve problems

PREFERRED QUALIFICATIONS

· Ophthalmology experience working in multiple doctor practices

· Experience working with multiple insurance carriers and an understanding of their claim requirements

Job Types: Full-time, Contract

Pay: $15.00 - $18.00 per hour

Schedule:

• 8 hour shift

Work Location: In person

Salary : $15 - $18