Insurance Claims Coordinator jobs in Baton Rouge, LA
Insurance Claims Coordinator is responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims for an organization. Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims. Being an Insurance Claims Coordinator reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution. Typically requires an associate degree or its equivalent. Additionally, Insurance Claims Coordinator typically reports to a manager. The Insurance Claims Coordinator gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. To be an Insurance Claims Coordinator typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Insurance Claims Coordinator jobs
Coding & Claims - Coordinator 1
- State of Louisiana
-
Baton Rouge, LA
OTHER
-
Please click HERE to apply.• Reviews and verifies accurate CPT, ICD-10, HCPCS reimbursement between the MCO and Providers• Prepares and analyzes reports on such topics as number of denied claims, documentation or coding issues, for review by management• Reviews all documentation assigned for completeness, accuracy, and compliance• Ensure contract compliance by each managed care organization (MCO), as well as timely and responsive MCO and provider support.• Provides technical guidance to providers, external stakeholders, and MCOs to improve the reimbursement process and to address Medicaid programmatic issues to lessen provider abrasion.• Serve as liaison with the MCOs and LDH MMIS, Eligibility and Systems staff to address questions and complaints related to claims issues.• Maintains knowledge of HIPAA guidelines and regulations.• Review monthly denied claims reports and provide analysis to provider relations program manager.• Act as the department resource for coding questions and training• Review Network Adequacy reports and keep up with CMS guidelines• Assists with administering the provider independent review process to ensure that claim disputes are resolved in compliance with the requirements and timelines established by Act 349 of the 2017 Regular Legislative Session.• Assists with oversight of the medical necessity vendor contract and prepares the agenda, minutes, and data for the required Independent Review Panel meetings.• Serves as technical lead for the implementation of a provider network adequacy analytics tool.• Manages the MCO policy submission process, including operationalizing Act 319 of the 2019 Regular Legislative Session, which includes researching managed care and fee-for-service policies, Informational Bulletins/Health Plan Advisories, and state rule, as well as tracking these policies through the approval process.• Perform other tasks as directed.
Required Qualifications:
• Bachelor's Degree, or 6 years of professional experience in lieu of degree.• Excellent analytical skills, effective organizational and time management skills.• Able to independently initiate communication with stakeholders.Desired Qualifications:
• Bachelor Degree in Public Health, Community Health or Healthcare Management.• Minimum 1 year of experience with Medicaid program support or working with insurance/Medicare.• Minimum 1 year of experience in reporting and statistical analysis.• Working knowledge of provider claims, such as claims submittal requirements, posting payments, recoupments and working denials.• Certificate in medical coding (AHIMA or AAPC).
- 30 Days Ago
Insurance Coordinator
- Fresenius Medical Care
-
Baton Rouge, LA
FULL_TIME
- PURPOSE AND SCOPE: Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing...
- 1 Month Ago
Independent Insurance Claims Adjuster in Plaquemine, Louisiana
- MileHigh Adjusters Houston Inc
-
Plaquemine, LA
FULL_TIME
- ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
- 17 Days Ago
Independent Insurance Claims Adjuster in Hammond, Louisiana
- MileHigh Adjusters Houston Inc
-
Hammond, LA
FULL_TIME
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
- Just Posted
Independent Insurance Claims Adjuster in Morgan City, Louisiana
- MileHigh Adjusters Houston Inc
-
Morgan, LA
FULL_TIME
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
- Just Posted
Independent Insurance Claims Adjuster in Baton Rouge, Louisiana
- MileHigh Adjusters Houston Inc
-
Baton Rouge, LA
FULL_TIME
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
- Just Posted
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0 Insurance Claims Coordinator jobs found in Baton Rouge, LA area
Legal Intake Specialist
- Chris Corzo Injury Attorneys
-
Baton Rouge, LA
- Job Description Job Description Benefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Trai...
- 4/24/2024 12:00:00 AM
Medical Billing & coding Coordinator
- Louisiana State University Healthcare Network: New Orleans
-
Baton Rouge, LA
- This position will be responsible for all aspects of the patient payment process in the School of Dentistry's Oral and M...
- 4/23/2024 12:00:00 AM
Enrollment & Billing Specialist III
- Blue Cross and Blue Shield of Louisiana
-
Baton Rouge, LA
- We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop sk...
- 4/23/2024 12:00:00 AM
Property Manager
- Sunridge Management
-
Baton Rouge, LA
- Job Description Job Description Property Manager POSITION: Property Manager REPORTS TO: AVP (Assistant Vice President) T...
- 4/22/2024 12:00:00 AM
Legal Assistant/Paralegal
- Gordon McKernan Injury Attorneys
-
Baton Rouge, LA
- Job Type Full-time Description Gordon McKernan Injury Attorneys is seeking a full-time Paralegal or Legal Assistant to j...
- 4/22/2024 12:00:00 AM
About Baton Rouge, Louisiana
Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Claims Coordinator jobs
$46,954 to $71,298
Baton Rouge, Louisiana area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does an Insurance Claims Coordinator do?
Insurance Claims Coordinator in Wilmington, DE
Based on our compensation data, the estimated salary potential for Insurance Claims Coordinator will increase 16 % over 5 years.
December 22, 2019
Insurance Claims Coordinator in New Orleans, LA
Resource Solutions are recruiting for two Claim Technicians to work for a insurance provider in their office in Chelmsford.
February 10, 2020
Insurance Claims Coordinator in Bellingham, WA
This individual will review all claims and make coverage decision.
January 31, 2020