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AZ
AVENUES Z AGENCY
WFH Billing Collections Coordinator
Career Insights for Medical Claims Processor / Representative
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Scorecard
Based on Utah 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.
$43,517 / year median in Utah
-2% projected decline
Job Description
Job Overview We are seeking a dynamic and detail-oriented WFH Billing Collections Coordinator to join our healthcare team. In this role, you will be responsible for managing billing and collections processes remotely, ensuring accurate and timely reimbursement for medical services. Your proactive approach will help optimize revenue cycles, resolve billing discrepancies, and maintain excellent communication with insurance providers, patients, and internal teams. This position offers an exciting opportunity to contribute to healthcare claims management while working from the comfort of your home. Duties Review and process medical claims using advanced billing software and EMR/EHR systems to ensure accuracy and completeness. Follow up on unpaid or partially paid claims by contacting insurance companies, patients, or other payers to secure outstanding payments. Verify patient information, insurance details, and coding accuracy including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards. Resolve billing discrepancies by analyzing medical records, medical coding, and healthcare claims management data. Maintain detailed documentation of collection activities, payment histories, and correspondence in compliance with healthcare regulations. Collaborate with medical office staff to update patient records and ensure proper documentation of services rendered. Stay informed about health insurance policies, medical terminology updates, and changes in billing regulations to ensure compliance. Skills Strong knowledge of medical billing processes, including familiarity with