Medical Insurance Claim Coordinator

3 weeks ago


Jacksonville, Florida, United States The Center for Orthopedic and Research E Full time
Job Overview

We are seeking a detail-oriented Medical Insurance Claim Coordinator to join our team at The Center for Orthopedic and Research Excellence.

Job Summary

The ideal candidate will be responsible for tracking patient accounts, obtaining authorizations for procedures, and corresponding with internal staff and attorney firms.

Key Responsibilities
  • Account Review: Review patient accounts for accuracy and completeness, flagging those that require discussions with the attorney and/or patient.
  • Authorization Management: Obtain authorizations for appointments, including diagnostics, surgeries, injections, physical therapy, and procedures.
  • Communication: Communicate with Check-In / Check-Out staff regarding patient balance issues, respond to telephone calls from internal staff, patients, attorneys, and case managers.
  • Spreadsheet Maintenance: Maintain spreadsheets of all patients in the AIP program.
Requirements

To be successful in this role, you will need:

  • A High School Diploma/GED or equivalent working knowledge preferred; BA/BS Preferred.
  • One year of medical billing or medical office experience in a physician office or hospital environment.
  • Customer service experience required.
Knowledge and Skills

You should have knowledge of:

  • Medical billing and related functions and tasks.
  • Large physician group operations and clinic policies.
  • AIP processes and requirements.
  • Payer-specific requirements.
  • Authorization and verification processes.
Salary and Benefits

This full-time position offers a competitive salary of $60,000 - $80,000 per year, depending on experience, plus benefits including health insurance, retirement plan, and paid time off.



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