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Insurance Claims Coordinator
Central Ohio Primary Care. Work listings of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve billing issues delaying reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in billing issue resolution, patient account analysis, and effective communication with insurance payers. Proficient in maintaining HIPAA confidentiality while providing accurate account information and recommending process improvements.
Highest-signal resume keywords
Billing Issue ResolutionPatient Account AnalysisHIPAA ComplianceMicrosoft Office SuiteCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Re-filingAccount AdjustmentsRefund IssuanceDemographic Information UpdatesTrend Reporting
Soft Skills
Clear CommunicationProblem SolvingInterpersonal Skills
Tools & Technologies
Microsoft TeamsMicrosoft WordMicrosoft ExcelMicrosoft Outlook
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Health Care SettingCollectionsInsurance PayersPatient AccountsHIPAA Confidentiality
About the role
Key responsibilities & impact- Work listings of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve billing issues delaying reimbursement
- Analyze patient accounts, identify billing issues, and determine solutions with insurance companies
- Re-file claims, request adjustments, issue refunds, and take other appropriate actions
- Update patient demographic information and make system corrections to patient accounts
- Liaise between patients and payers to provide clear and accurate billing or other pertinent information
- Research and provide patients and physicians with clear and accurate account information
- Report trends and specific insurance-claim issues to management
- Recommend quality and process-improvement initiatives
- Maintain HIPAA confidentiality regarding financial and medical information
- Maintain the company's mission values and perform other assigned duties
Requirements
What you’ll need- High School diploma or GED
- 1 year experience in a health care setting preferred, not required
- 1 year experience in customer service preferred, not required
- 1 year proven experience in collections preferred, not required
- Working knowledge of Microsoft Teams, Word, Excel and Outlook
- Must reside in Ohio
- Willingness to travel to Westerville as needed
- Must be available Monday-Friday, 8:00 a.m.-4:30 p.m.
- Adherence to HIPAA confidentiality guidelines
Benefits
Comp & perks- Full-time/benefits eligible
- Monday-Friday, 8:00 a.m.-4:30 p.m.
- Remote work after training
- 2-3 weeks of paid? training in the Westerville office is not explicitly stated as paid; training in office
- Potential remote work after the first 90 days
- Employee assistance/other benefits are not specified