Medical Claims Coordinator/Processor

Tailored Management

🇺🇸 United States
On-site
1 week ago

EHR
medical billing

Health insurance

1 week ago

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Job Title: Claims Coordinator (Medical Biller)
Location: 4000 LUXOTTICA PL MASON
Hybrid - 3x a week in office.
Schedule time: 8am - 5:00 pm, Monday - Friday EST.
Pay Rate: $22.55/hr on W2 Paid Weekly!
Initial Assignment Length: 4+ Months (Extension is possible based on performance, attendance, and business need)
Start Date: 10/13/2026
Benefits: Paid weekly, health, dental + vision insurance available!
Years of Experience: 5 years

GENERAL FUNCTION RESPONSIBILITIES

The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of Team Vision medical claims for one or more doctor practices.
Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.

MAJOR DUTIES AND RESPONSIBILITIES

Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
Determine if denied claims can be corrected and re-submitted to the carrier.
Review aging reports to research open balances and resubmit within insurance carrier filing limits.
Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
Initiate overpayment refunds to patients and repayments to insurance carriers when required.
Serve as the point of contact for the practice regarding all vision and medical claims.
Support the corporate manager in maximizing claim collection rate.

BASIC QUALIFICATIONS

High school diploma
3+ years of related work experience
Experience with medical billing and coding
Ability to prioritize handling of issues
Organization skills and ability to multitask
Effective communication skills (verbal, written, listening, presentation)

PREFERRED QUALIFICATIONS

Experience working in multiple doctor practices
Experience working with multiple insurance carriers and an understanding of their claim requirements
Proven ability to identify issues and solve problems.

At Tailored Management, we help people get jobs and take pride in their work, so we better take pride in ours too. Not every company has the opportunity to meaningfully and directly impact individuals in a way that makes their lives tangibly better. To better support our employees, we offer a wide variety of benefit options to support you. We offer:

Medical Coverage– HDHP, PPO, and Surest plan options
Minimum Essential Coverage (MEC)
Dental Insurance
Vision Insurance
Short-Term Disability (STD)
Long-Term Disability (LTD)
Life & AD&D Insurance
Critical Illness Insurance
Accident Insurance
Employee Assistance Program (EAP)

#TMCA

Medical Claims Coordinator/Processor · Tailored Management

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