Claims Coordinator

Type: Contract to Hire/Temp to Perm (Full-Time)Start Date: ASAPEnd Date: Contract/Temp through August 2025 (then will evaluate for Full-Time conversion)Location: Mason, OH (HYBRID position; in-office Tuesdays through Thursdays each week)Schedule: Monday-Friday, 8:00am-4:30pm (40 hours per week)Pay Range: $18 to $20 per hourGENERAL FUNCTION:The Claims Coordinator is responsible for monitoring insurance carrier adjudication of medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple insurance carriers. Review open/unpaid claim balances and take required action.MAJOR DUTIES & RESPONSIBILITIES: • Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. • Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier. • Download insurance carrier evidence of benefits (EOBs) to post claim payments and denials in the EHR system. • Determine if denied claims can be adjusted and re-submitted to the carrier. • Review aging reports to research open balances and resubmit within insurance carrier filing limits. • Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status. • Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. • Initiate overpayment refunds to patients and repayments to insurance carriers when required. • Write-off open claim balances in the EHR system. • Serve as the point of contact for the practice regarding all medical claims. • Support the corporate manager in maximizing claim collection rate.BASIC QUALIFICATIONS: • High school diploma • 3+ years of related work experience (e.g. medical claims coding/billing and cash apply experience) • Experience with medical vision claims and coding • Ability to prioritize handling of issues • Organization skills and ability to multitask • Effective communication skills (verbal, written, listening, presentation) • Vision billing experience (preferred)

Created: 2025-03-03