Accounts Receivable Coordinator

About the role

The Accounts Receivable Coordinator ensures appropriate reimbursement from assigned insurance carriers for all physician services at Concord Orthopaedics (COPA).

Responsibilities

• Manage daily claims worklists to confirm claims are processed and reimbursed correctly.
• Review and interpret Explanations of Benefits (EOBs) for accuracy in payment posting, patient balance transfers, and denials.
• Submit corrected claims based on payer rules and policies.
• Appeal denied claims as appropriate, including submission of clinical documentation via insurance portals.
• Utilize payer websites and call representatives for clarification of claim denials or status of pending claims.
• Confirm active insurance coverage for patients and resubmit claims.
• Handle inbound calls as part of the Business Office phone queue, assisting patients, insurance representatives, and referring offices.
• Process patient credit card payments and identify credit balances and initiate patient refunds.
• Participate in monthly Business Office team meetings.
• Provide cross-coverage support for other business office functions as needed.

Qualifications

• High School Diploma required.
• Medical office and surgical billing experience preferred.
• Strong typing, computer, documentation, and analytical skills.
• Excellent communication, time management, and organizational abilities.
• Ability to work effectively as part of a team and maintain professionalism in a fast-paced environment.
• Strong attention to detail and accuracy.