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Tailored Management

Medical Claims Coordinator/Processor

Pay: $22.55/hr
Posted: 4 weeks ago
Location: Mason, OH (Hybrid)
Last Updated: 2 days ago
Hours: Full-Time
Expires: 10/4/2026

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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.

$40,814 / year median in Ohio

-9% projected decline

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Job Description

Job Title:
Claims Coordinator (Medical Biller)
Location:
4000 LUXOTTICA
PL MASON
Hybrid•3x a week in office.
Schedule time:
8am•5:00 pm, Monday•Friday EST.
Pay Rate:
$22.55/hr on W2 Paid Weekly!
Initial Assignment Length:
4+ Months (Extension is possible based on performance, attendance, and business need)
Start Date:
08/31/2026
Benefits:
Paid weekly, health, dental + vision insurance available!
GENERAL FUNCTION RESPONSIBILITIES
The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of Team Vision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
MAJOR DUTIES AND 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 explanation of payments (EOPs) to post claim payments and denials in the EHR system. Determine if denied claims can be corrected 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. Serve as the point of contact for the practice regarding all vision and medical claims. Support the corporate manager in maximizing claim collection rate.
BASIC QUALIFICATIONS
High school diploma 3+ years of related work experience Experience with medical billing and coding Ability to prioritize handling of issues Organization skills and ability to multitask Effective communication skills (verbal, written, listening, presentation)
PREFERRED QUALIFICATIONS
Experience working in multiple doctor practices Experience working with multiple insurance carriers and an understanding of their claim requirements Proven ability to identify issues and solve problems. #TMCA