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SP
Strength PT
Insurance Coordinator
Career Insights for Medical Claims Processor / Representative
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Scorecard
Based on Michigan data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$45,511 / year median in Michigan
-7% projected decline
Job Description
Insurance Coordinator Strength PT Dearborn Heights, MI Job Details Part-time | Full-time From $20 an hour 1 hour ago Qualifications Collaborate with healthcare professionals Administrative experience within healthcare Insurance verification Managed care Medical insurance coverage verification Medical office experience Health insurance policy knowledge Dental insurance HIPAA Insurance medical billing Medical billing and coding communication with insurance companies Policy verification in claims processing Health information regulatory compliance Clinic administrative experience Medical billing account reconciliation Insurance provider collaboration Patient interaction Clinical confidentiality policies Medical terminology Full Job Description Overview Join our dynamic healthcare team as an Insurance Coordinator, where your expertise will drive seamless insurance processes and enhance patient care experiences. In this vital role, you will coordinate insurance verification, manage medical records, and ensure compliance with healthcare regulations. Your energetic approach and attention to detail will empower our team to deliver exceptional service while maintaining accuracy and efficiency across all insurance-related activities. Responsibilities Verify patient insurance coverage and benefits accurately prior to appointments or procedures Manage medical records, ensuring confidentiality and compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations Perform insurance billing, claims submission, and follow-up to secure timely reimbursements Utilize managed care knowledge to navigate various insurance plans and policies effectively Apply CPT (Current Procedural Terminology) coding, ICD-9, ICD-10, and ICD coding standards for precise billing and documentation Collaborate with medical offices, dental offices, and healthcare providers to resolve billing issues or discrepancies Conduct insurance verification for new and existing patients, ensuring all data is current and correct Maintain accurate medical records and documentation related to insurance claims and patient interactions Requirements Proven experience in medical office administration or healthcare billing environments Strong knowledge of managed care systems, medical terminology, and medical coding practices including CPT, ICD-9, ICD-10, and ICD coding Familiarity with HIPAA regulations to safeguard patient information at all times Experience with insurance verification processes across various healthcare plans Background in dental office experience is a plus but not required Excellent organizational skills with the ability to handle multiple tasks efficiently in a fast-paced environment Effective communication skills for interacting with patients, providers, and insurance companies Embark on a rewarding career where your skills make a tangible difference! We are committed to fostering a vibrant workplace that values your contributions while supporting your professional growth. Join us in delivering outstanding healthcare services through meticulous coordination and compassionate care.