Insurance Coordinator responsible for verifying insurance coverage and processing reimbursement claims. Supporting daily operations in a fast-growing healthcare company with a focus on customer service and compliance.
Responsibilities
Verify Medicare, Medicaid, and commercial insurance eligibility
Submit and process clean claims (manual or electronic) on CMS1500 forms
Enter accurate patient account data to ensure timely and correct billing
Correct insurance or charging errors to support claim submission
Follow up on outstanding receivables, resolve discrepancies, and file appeals or disputes
Resubmit denied or underpaid claims in a timely and compliant manner
Stay up to date with government and private payer regulations and coverage requirement
Communicate directly with payers via phone, email, and portals to resolve claim issues
Request and submit necessary documents including prior authorizations, letters of medical necessity, prescriptions, and letters of non-coverage
Maintain compliance with HIPAA and protect sensitive patient information
Monitor and manage office inventory and supplies; reconcile purchase orders and packing slips
Collaborate with management to reduce denials and accounts receivable
Answer phones and assist patients with scheduling or insurance-related questions
Support team members with special projects or other administrative tasks as needed
Requirements
High school diploma or equivalent
Strong interpersonal and customer service skills
Solid organizational and multitasking abilities
Comfortable with computers, data entry, and insurance portals
Experience in medical billing, claims processing, or insurance verification is a plus
Familiarity with CMS1500 claim forms, HIPAA, and insurance denials preferred
Benefits
Competitive pay 💰
Full benefits: Medical, Dental, Vision & Life Insurance 🏥
VP overseeing personal lines insurance at Beneva, leading product development and team management strategies. Responsible for fostering innovation and achieving growth within the sector.
Managing Director (Insurance) leading supervisory initiatives at Office of the Superintendent of Financial Institutions, ensuring regulatory adherence for Canadian insurers and pension plans.
Manager leading benefits & insurance transformation initiatives at CBIZ. Collaborating with teams to drive process improvements and implement digital solutions.
Senior Analyst driving benefits & insurance innovation at CBIZ while collaborating with cross - functional teams to enhance process efficiencies. Leading digital transformation initiatives to optimize services.
Risk Management Consultant actively contributing to the development of enterprise risk management within Rödl. Engaging in compliance reporting and training under Governance, Risk, Compliance & Sustainability team.
Assurance Specialist supporting digital and ICT investments across the APS. Ensuring compliance and successful project outcomes while working with key governance teams.
Assurance Specialist providing oversight and assurance for ICT projects at Department of Veterans' Affairs. Involved in risk management and compliance activities across the APS.
Assurance Specialist role supporting digital and ICT investments for the Department of Veterans' Affairs. Engaging with project teams to ensure compliance and successful outcomes in assurance activities.
Program Assurance Specialist overseeing digital and ICT investments across the APS. Responsible for independent oversight, risk management, and assurance activities for tiered projects.
Head of Contractual Assurance Delivery at Sizewell C project, establishing assurance frameworks and compliance methodologies. Leading the assurance delivery in a highly regulated environment.