Claims Coordinator, Enterprise

Kindbody

About The Position

As an experienced Claims Coordinator, you will work in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated Claims Coordinator, focusing on accounts receivable activities, to join our team to support our Enterprise team. This role will have a significant emphasis on customer relations. You must be comfortable interacting, communicating, and working directly with patients.

Requirements

3-4+ years of health plan / medical insurance accounts receivable experience in a fast-paced, customer-focused environment, with fertility clinic experience a plus
Strong written and verbal communication skills & a team player
Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
Detail-oriented with strong organizational skills
Exemplifies amazing customer service skills and professionalism
Experience in CPT and ICD-9 coding; familiarity with medical terminology
Ability to manage relationships with various insurance payers
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
Intermediate experience in Microsoft Excel
Certificate from an accredited medical and billing school.

Nice To Haves

Experience in the employer benefits space is a plus
A passion for women’s health, and fertility is a plus

Responsibilities

Ensure and manage timely follow up on all unpaid claims utilizing monthly aging reports
Effective communication abilities for phone contacts with insurance payers to resolve issues
Demonstrate customer service skills for interacting with patients regarding medical claims and payments
Oversee and perform research to resolve any discrepancies, denials, rejections, collections
Manage and set up patient payment plans and work collection accounts
Review patient bills for accuracy and completeness and obtain any missing information
Oversee and manage the posting of payments.
Oversee and process insurance payments, including balance billing to secondary insurance and/or directly to patients.
Analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims.
Properly note the system and maintain all documentation required for compliant claim submission.
Respond to a high volume of inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
Meet positional metrics and benchmarks.
Maintain the highest degree of ethics when handling patient payments and bill processing
Follow all department standard operating procedures carefully and accurately
Other duties as assigned by supervisor.
Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion
Maintain clear communication and collaborate with stakeholders across the Enterprise team
Other duties and projects as assigned