Central Ohio Primary Care

Claims Specialist

• Work listings of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve billing issues delaying reimbursement
• Analyze patient accounts, identify billing issues, and determine solutions with insurance companies
• Re-file claims, request adjustments, process refunds, and take other appropriate actions
• Update patient demographic information and make system corrections to patient accounts
• Act as a liaison between patients and payers to provide clear, accurate billing and related information and expedite payment
• Conduct research and provide patients and physicians with clear, accurate account information
• Report insurance-claims trends and specific issues to management
• Recommend quality and process improvements
• Adhere to HIPAA confidentiality guidelines regarding financial and medical information
• Maintain the company's mission values and philosophy
• Perform other duties assigned by management

Insurance Claims Coordinator