Insurance Claims Coordinator jobs in West Virginia
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
Insurance Claims Spec HB
- SYSTEM West Virginia University Health System
-
Monongalia County WV (Local), WV
FULL_TIME
- Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Employs excellent customer service, oral and written communication skills to provide customer support and resolve issues that arise from customer inquiries. Supports the work of the department by completing reports and clerical duties as needed. Works with leadership and other team members to achieve best in class revenue cycle operations. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School diploma or equivalent. PREFERRED QUALIFICATIONS: EXPERIENCE: 1. One (1) year medical billing/medical office experience. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Submits accurate and timely claims to third party payers. 2. Resolves claim edits and account errors prior to claim submission. 3. Adheres to appropriate procedures and timelines for follow-up with third party payers to ensure collections and to exceed department goals. 4. Gathers statistics, completes reports and performs other duties as scheduled or requested. 5. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency. 6. Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up. 7. Contacts third party payers to resolve unpaid claims. 8. Utilizes payer portals and payer websites to verify claim status and conduct account follow-up. 9. Assists Patient Access and Care Management with denials investigation and resolution. 10. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth. 11. Attends department meetings, teleconferences and webcasts as necessary. 12. Researches and processes mail returns and claims rejected by the payer. 13. Reconciles billing account transactions to ensure accurate account information according to established procedures. 14. Processes billing and follow-up transactions in an accurate and timely manner. 15. Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital billing. 16. Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts. 17. Maintains work queue volumes and productivity within established guidelines. 18. Provides excellent customer service to patients, visitors and employees. 19. Participates in performance improvement initiatives as requested. 20. Works with supervisor and manager to develop and exceed annual goals. 21. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information. 22. Communicates problems hindering workflow to management in a timely manner. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for extended periods of time. 2. Must have reading and comprehension ability. 3. Visual acuity must be within normal range. 4. Must be able to communicate effectively. 5. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Office type environment. SKILLS AND ABILITIES: 1. Excellent oral and written communication skills. 2. Working knowledge of computers. 3. Knowledge of medical terminology preferred. 4. Knowledge of business math preferred. 5. Knowledge of ICD-10 and CPT coding processes preferred. 6. Excellent customer service and telephone etiquette. 7. Ability to use tact and diplomacy in dealing with others. 8. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures. 9. Ability to understand written and oral communication. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 544 SYSTEM Patient Financial Services Address: Morgantown WV Core West Virginia Thank you for your interest in working for WVUM. Please explore our open opportunities in the list below and apply for any positions in which you would like to be considered. You'll be able to keep track of your progress on our site. The West Virginia University Health System, West Virginia's largest health system with more than 2,700 beds is the state’s largest private employer, is comprised of more than 20 hospitals, including a children's hospital and five institutes, all anchored by a 700-bed academic medical center in Morgantown, West Virginia. Learn more about WVU Medicine here: https://wvumedicine.org/about/
- 26 Days Ago
Insurance Coordinator
- Branson Family Dentistry
-
Princeton, WV
FULL_TIME
- About us Branson Family Dentistry is a small business in Princeton, WV. We are professional and agile, our goal is to Provide Outstanding Patient Care. Our work environment includes: Modern office set...
- 21 Days Ago
Independent Insurance Claims Adjuster in Weirton, West Virginia
- MileHigh Adjusters Houston Inc
-
Weirton, WV
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 Princeton, West Virginia
- MileHigh Adjusters Houston Inc
-
Princeton, WV
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 Parkersburg, West Virginia
- MileHigh Adjusters Houston Inc
-
Parkersburg, WV
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 Buckhannon, West Virginia
- MileHigh Adjusters Houston Inc
-
Buckhannon, WV
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
Insurance Claims Coordinator jobs at Popular Companies
Supervisor Pharmacy Technicians - Longview - Full Time
- Christus Health
-
Longview, TX
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Total Loss Adjuster
- Root
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- **The Position.** As a Total Loss Adjuster, youll play a critical role in enforcing the fundamental fairness on which ou...
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Controller
- Hhm Cpas
-
Shreveport, LA
- Controller HHM CPAs is assisting a client in their search for a Controller to oversee a single dealership store in Shrev...
- 4/25/2024 12:00:00 AM
Insurance Claims Coordinator
- Cubesmart
-
Malvern, PA
- Overview: This is a hybrid role based in Malvern, PA The Claims Coordinator, Risk will coordinate the management and ana...
- 4/24/2024 12:00:00 AM
Total Loss Adjuster (Florida)
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- **The Position.** As a Total Loss Adjuster, youll play a critical role in enforcing the fundamental fairness on which ou...
- 4/24/2024 12:00:00 AM
Total Loss Adjuster (Georgia)
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- **The Position.** As a Total Loss Adjuster, youll play a critical role in enforcing the fundamental fairness on which ou...
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Controller
- HHM CPAs
-
Shreveport, LA
- Controller HHM CPAs is assisting a client in their search for a Controller to oversee a single dealership store in Shrev...
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Regional Controller
- HHM CPAs
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Hampton, VA
- Regional Controller HHM CPAs is assisting a client in their search for a Regional Controller to oversee 15 dealership ac...
- 4/22/2024 12:00:00 AM
About West Virginia
West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston.
West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Claims Coordinator jobs
$44,482 to $67,545
Most Popular Cities in West Virginia for Insurance Claims Coordinator Jobs
What does an Insurance Claims Coordinator do?
Insurance Claims Coordinator in Tallahassee, FL
Provides basic insurance and HAZMAT support to field, sales and Genpact operations.
December 16, 2019
Insurance Claims Coordinator in Green Bay, WI
Issues insurance documents and prepares various monthly internal and external reports.
December 19, 2019
Insurance Claims Coordinator in Vallejo, CA
Penske is seeking an Insurance Compliance and Claims Coordinator to join our Insurance and Risk Management team.
December 11, 2019