Medical Insurance Coordinator

A Medical Insurance Coordinator serves as an essential link between healthcare providers, insurance companies, and patients, ensuring seamless insurance claims handling and processing. They are responsible for verifying patients' insurance coverage, processing claims accurately, handling inquiries, and resolving any arising discrepancies. Acting as a liaison, they facilitate communication between different entities to ensure patients receive the necessary and covered medical services without undue financial stress. This role demands meticulous attention to detail, comprehensive knowledge of insurance policies, and exceptional communication capabilities to advocate effectively for patients. It requires proficiency in the latest medical billing and coding software, enabling efficient handling of claim submissions and follow-ups. The Medical Insurance Coordinator must be adept at managing a high volume of paperwork and multitasking, while also providing exemplary customer service.

Responsibilities

• Verify patients’ insurance coverage before medical services are rendered.
• Effectively communicate with patients to explain insurance coverage details.
• Submit insurance claims promptly and accurately to minimize delays.
• Handle inquiries regarding patients' insurance and claims processes efficiently.
• Monitor the status of submitted insurance claims consistently.
• Resolve discrepancies between billed and paid amounts for medical services.
• Maintain up-to-date records of all patient insurance information securely.
• Coordinate benefits to ensure maximum coverage for medical procedures.
• Regularly update policies and claims processing protocols in collaboration with insurers.
• Establish and nurture relationships with insurance company representatives.
• Generate and submit reports on insurance claims and reimbursements monthly.
• Facilitate discussions with billing departments to streamline claim processors.

Requirements

• Proven experience in medical billing or insurance coordination required.
• Strong familiarity with medical insurance terminology and coding standards.
• Exceptional organizational skills and ability to manage multiple tasks.
• Proficiency with medical billing software and electronic medical records.
• Excellent communication skills, both verbal and written, are necessary.
• Ability to work independently while being part of a collaborative team.
• High school diploma or equivalent; a certification in a related field preferred.