Job Overview We are seeking a dedicated Medical Claims Coordinator to join our healthcare administration team. In this vital role, you will oversee the processing and management of medical insurance claims, ensuring accurate and timely reimbursement for healthcare providers and patients. The ideal candidate will possess comprehensive knowledge of healthcare claims management, medical coding, and billing procedures, contributing to the efficiency and accuracy of our medical billing operations. Your expertise will support the seamless flow of claims from submission to resolution, fostering positive relationships with insurance companies and patients alike. Duties Review and process medical claims using billing software, EMR (Electronic Medical Records), and EHR (Electronic Health Records) systems to ensure accuracy and completeness. Verify patient information, insurance details, and medical records to facilitate proper claim submission. Apply appropriate coding such as DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding standards to accurately represent diagnoses and procedures. Follow up on unpaid or denied claims by communicating with insurance providers and patients to resolve discrepancies or issues. Maintain detailed documentation of claim statuses, appeals, adjustments, and collections in compliance with healthcare regulations. Collaborate with healthcare providers to clarify documentation requirements and ensure proper coding for billing purposes. Stay updated on changes in health insurance policies, coding standards, and billing regulations to ensure compliance. Assist in training staff on medical billing procedures and updates related to healthcare claims management. Support medical collection efforts by following up on outstanding balances with patients or insurance companies. Generate reports on claim status, collection progress, and revenue cycle metrics for management review. Qualifications Proven experience in medical office administration, medical billing, or healthcare claims management. Strong knowledge of

DRG, CPT

coding, ICD-9, ICD-10 coding systems, and medical terminology. Familiarity with billing software platforms as well as EMR/EHR systems used in healthcare settings. Understanding of health insurance policies, healthcare claims processing workflows, and medical records management. Proficiency in Microsoft Office applications for reporting and documentation purposes. Excellent customer service skills with the ability to communicate effectively with patients, providers, and insurance representatives. Attention to detail with strong organizational skills to manage multiple claims simultaneously. Prior experience working with medical collection processes is a plus. If you are committed to accuracy in healthcare billing and eager to contribute your expertise within a dynamic team environment, we encourage you to apply today. Join us in supporting efficient healthcare operations through precise claims processing and outstanding service. #4002

Pay:

$21.00 - $22.00 per hour

Work Location:

In person