AR/Insurance Coordinator - In Office - Healthcare Company

General Summary of Duties:      Insurance Accounts Receivable Coordinator will ensure that claims are sent and incoming payments are posted.  The coordinator will review EOBs for proper reimbursement and claim processing. The coordinator will also manage denials and will reach out to insurance representatives as necessary. Carry out other duties or special projects as requested by the manager and assist wherever needed. 

Supervision received:                    Reports directly to the RCM Manager                    

Supervision Exercised:                  None                   

Typical Physical Demands:           Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies.  Occasional lifting of equipment, files or papers weighing up to 30 pounds.  Requires manual dexterity sufficient to operate office equipment associated with job.  Must hear well enough to answer and converse on phone.  Must see to read forms, computer terminals, and printouts.  Must be able to count, do basic arithmetic calculations.  Must be able to read and write English at a high school level.  Must be able to effectively communicate verbally and written. 

Typical Working Conditions:       Work is performed in an office environment.  Involves frequent telephone and direct contact with patients, co-workers, providers, payers, other physician’s offices and hospitals.  Work may be stressful at times.  Interaction with others is constant and interruptive. 

Example of Duties: (This list may not include all of the duties assigned)

1.      Accept and post insurance payments.

2.      Verifies validity of account discrepancies by obtaining and investigating charges, overpayments and underpayments.

3.      Resolve collections by examining claims submitted and patient records.

4.      Performs other duties as may be required.

Knowledge, Skills & Abilities:      Ability to organize, analyze as well as report research results.  Knowledge of office procedures and policies.  Demonstrate strong communication skills, knowledge of grammar and spelling to relay messages and input patient information.  Strong customer service skills.  Ability to speak clearly, concisely and answer the telephone in a pleasant and helpful manner.  Ability to demonstrate critical thinking, use own judgement and make decisions.  Skills should also include data entry, general mathematic attentions to detail, and thoroughness.  Adhere to all practice policies, procedures.

Education:          High School graduate or GED

Experience:                                     

1.      Customer service.

2.      3-5 years of medical billing preferred but not required.