Insurance Coordinator

About the role

The Insurance Claims Coordinator reviews, handles and takes appropriate action on all unpaid or denied insurance claims in excess of 30 days since submission date. He/She gives special consideration to large balances and/or aged claims; handles matters relating to account audits by insurance audit firms providing requested information and/or disputing outcome of findings; works closely with insurance billers, coding, medical records, provider offices, ancillary departments and business office personnel to achieve claim resolution. The Insurance Claims Coordinator is responsible for follow up of designated insurance accounts, balancing accounts, identifying underpayments, finalization of insurance matters, and audits regarding certain claims.

Responsibilities

• Follow up on designated insurance accounts
• Balance accounts and identify underpayments
• Finalize insurance matters
• Perform audits regarding certain claims
• Provide requested information for account audits by insurance audit firms and/or dispute findings
• Collaborate with insurance billers, coding, medical records, provider offices, ancillary departments, and business office personnel to resolve claims

Requirements

• High school graduate or equivalent required
• Minimum of two (2) years' patient accounting and insurance experience preferred
• Experience in a hospital or healthcare setting preferred
• Must have de-escalation training completed by the end of position orientation (90 days)
• Reports to Denials Supervisor and Denials and Appeals Manager

Skills

• Superior customer service skills and professional etiquette
• Proficient knowledge and ability to use a computer (keyboard proficient) and other office technology (telephone, fax, etc.)
• Proficient with MS Outlook and Word
• Keen mental faculties, assessment and decision-making abilities
• Superior communication, speaking, and enunciation skills to receive and give information in person and by telephone
• Strong written and verbal communication skills
• Emotional stability conducive to dealing with high stress levels
• Ability to work under pressure and meet deadlines
• Attention to detail and ability to multi-task in complex situations
• Ability to maintain collaborative and respectful working relationships throughout SRHS and other organizations
• Ability to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages

Schedule

Shift M-F 8:00am - 5:00 pm

Location

Singing River Surgical Services - Ocean Springs