Insurance Collections Coordinator (31359)

Duties/Responsibilities

• Research and resolve unpaid claims in established timeframe
• Research and resolve claims found in all assigned workqueues in established timeframes
• Research and resolve clearinghouse rejection/denials
• Maintain current knowledge of covered and non-covered CPT and ICD 10 coding by using monthly payer bulletins and updates provided by Team Lead, Supervisor or Manager
• Maintain, update and distribute insurance participation lists
• Submit appeals as needed
• Communicate issues with provider reps as needed
• Maintain incoming mail and/or fax communications which includes reviewing, distributing and uploading as needed
• Follow established policies, control processes, procedure and guidelines
• Check email frequently throughout the day to ensure all communications are received

Requirements

• Strong problem-solving skills
• Possess strong computer skills, including proficiency in Excel
• Demonstrate excellent oral and written communication skills in order to effectively communicate with patients, physicians, peers, insurance companies and pharmacy personnel
• Have a broad knowledge of medical terminology
• The ability to prioritize and multi-task and must be able to function in a fast paced, at times, stressful environment
• Be able to function independently and as part of a team
• Proficient in EPIC

Qualifications

• High school diploma or equivalent
• At least 2 years related experience required
• Highest level of responsibility: Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision

Hours

Monday – Friday 8:00am – 4:30pm

Pay

From $19.00 - $31.00 per hour, depending on experience

Work Location

Hybrid

Qualifications

• Excellent written and verbal communication skills
• Excellent customer service skills are required
• MS Office experience, particularly in MS Word and MS Excel
• Ability to type at least 30 wpm
• Prior appeals experience electronically and ability to obtain claim status
• The ability to multi-task and work in fast-paced environment
• Detail-oriented
• Basic understanding of healthcare plans
• Be able to read and understand medical benefits
• Bilingual is a plus
• Medical terminology (CPT, ICD 10) knowledge

Education

• High school diploma or equivalent

Experience

• 2-4 years of prior insurance experience is preferred.
• Prior appeals experience electronically and ability to obtain claim status needed.

Additional Qualifications

N/A

Performance Requirements

• Excellent communication skills, both written and verbal
• Proficient technical (computer) skills
• The ability to multi-task and prioritize
• Self-motivated with initiative
• Strong sense of ethics

EEO/AA-M/F/disabled/protected veteran

GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrate the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.