OS
Insurance Coordinator
full-time•Kingsport
About this role
<p>Title: Insurance Coordinator<br>Practice: Associated <br>Location: Kingsport, TN<br>Hours:</p>
<ul>
<li><span data-olk-copy-source="MessageBody">Monday - Thursday: 7:30am-4:30pm</span></li>
<li><span data-olk-copy-source="MessageBody">Friday: 7:30am-1:30pm.</span><br><br></li>
</ul>
<p><strong>Position Purpose:</strong><br>An insurance coordinator plays a critical role within our oral surgery practices. The Insurance Coordinator is responsible for overseeing and managing all insurance-related activities within the organization. This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills, attention to detail, and the ability to work effectively with various stakeholders, including patients, insurance companies, and healthcare providers.</p>
<p><span style="text-decoration: underline;"><strong>Essential Functions</strong></span></p>
<p>Insurance Verification and Authorization:<br>• Verify patient insurance coverage and benefits.<br>• Obtain pre-authorizations and referrals for services as required by insurance providers.<br>• Ensure that all necessary documentation is completed accurately and submitted in a timely manner.</p>
<p>Claims Processing:<br>• Prepare and submit insurance claims for reimbursement.<br>• Monitor and follow up on the status of submitted claims.<br>• Resolve any issues or discrepancies related to insurance claims and payments.<br>• Process patient refunds, as applicable.</p>
<p>Patient Communication:<br>• Answer patient calls and inquiries related to their insurance benefits and billing needs. <br>• Communicate with patients regarding their insurance coverage and financial responsibilities.<br>• Address and resolve patient inquiries and concerns related to insurance matters.</p>
<p>Billing and Reconciliation:<br>• Assist in billing processes and ensure accurate coding and billing for services rendered.<br>• Reconcile insurance payments and patient accounts.<br>• Identify and rectify billing errors or discrepancies.</p>
<p>Compliance and Record Keeping:<br>• Maintain up-to-date knowledge of insurance regulations and compliance requirements.<br>• Ensure that all activities comply with relevant laws, regulations, and organizational policies.<br>• Maintain accurate and organized records of insurance transactions and communications.</p>
<p>Collaboration and Coordination:<br>• Work closely with healthcare providers, billing departments, and insurance companies.<br>• Coordinate with other departments to streamline insurance processes and improve efficiency.<br>• Participate in team meetings and contribute to process improvement initiatives.</p>
<p><span style="text-decoration: underline;"><strong>Qualifications</strong></span></p>
<p>Education:<br>• High school diploma or equivalency, required. <br>• Certification in medical billing and coding or a related area is a plus.</p>
<p>Experience:<br>• Previous experience in insurance coordination, medical billing, or a related field <strong>required</strong><br>• Familiarity with healthcare insurance policies, procedures, and regulations. <br>• Knowledge of relevant regulations and compliance requirements in healthcare.</p>
<p>Performance Requirements:<br>• Approachable, professional demeanor <br>• Strong communication and interpersonal skills.<br>• Detail-oriented and thorough in task execution.<br>• Excellent organizational and multitasking abilities.<br>• Proficiency in using relevant software and systems for claims processing and record keeping.<br>• Knowledge of medical terminology and healthcare practices.<br>• Ability to work in a fast-paced environment and handle stressful situations with professionalism.<br>• Empathetic and patient-focused approach to care coordination.<br>• Independent decision-making skills and utilization of sound judgement.</p>
<p> </p>
<p>DISCLAIMER<br>The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. OPS’s management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. </p>
What you'll do
- The Insurance Coordinator is responsible for managing all insurance-related activities, including processing claims and verifying insurance coverage. They also handle patient inquiries and ensure compliance with relevant regulations.
About Oral Surgery Partners
Oral Surgery Partners is an oral surgery practice management company that was formed to provide professional management services for leading oral diagnostic and surgical practices for any issues that affect the mouth, teeth, and facial region. The initial practice supported by OSP is Midwest Oral Maxillofacial & Implant Surgery (“Midwest”). Midwest was founded by Dr. Michael Parsons in 2000.
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Frequently Asked Questions
What does a Insurance Coordinator do at Oral Surgery Partners?
As a Insurance Coordinator at Oral Surgery Partners, you will: the Insurance Coordinator is responsible for managing all insurance-related activities, including processing claims and verifying insurance coverage. They also handle patient inquiries and ensure compliance with relevant regulations..
Is the Insurance Coordinator position at Oral Surgery Partners remote?
The Insurance Coordinator position at Oral Surgery Partners is based in Kingsport, Tennessee, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Insurance Coordinator position at Oral Surgery Partners?
You can apply for the Insurance Coordinator position at Oral Surgery Partnersdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.