The ASC Insurance Coordinator supports insurance follow-up, claims resolution, payment posting, and patient account management for an ambulatory surgery center.
- Review open insurance claims and balances, including appealed accounts
- Sort claims by insurance, date of service, and other account details
- Review unpaid, rejected, and denied charges daily
- Appeal claims and follow them through resolution
- Communicate account issues and resolution updates to management
- Handle denial projects and department phone calls
- Research patient inquiries and verify correct payment application
- Post insurance payments and contractual adjustments
- Copy primary EOBs for secondary claims and file secondary claims as needed
- Prepare refunds and process patient and insurance credits
- Determine when accounts should be sent to outside collections
- Create and submit records for accounts sent to collection agencies
Requirements & Qualifications
High school diploma or equivalent required.
- 3-4 years of experience in medical billing or claims denials
- Familiarity with EOBs, CPT, ICD-10, claims, denials, and appeals preferred
- Certified Professional Coder (CPC) preferred
- Strong written and verbal communication skills
- Excellent attention to detail and concentration
- Strong computer and data entry skills
- Strict adherence to HIPAA and patient confidentiality requirements
Location
Tennessee, US
Employment Type
Not specified
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago
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