Summary

Baylor College of Medicine is seeking a Coordinator. The ideal candidate will understand   AR follow up. The Coordinator should have knowledge of how to appeal a denied claim and check status of a claim by payer website or placing a telephone call to the payer.

Job Purpose

Coordinates insurance medical claims. 
 

Job Duties

• Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
• Works on complex and/or specialized cases. 
• Provides assistance with  inquiries from outside parties regarding account status and possible resolutions.
• Utilizes specialized knowledge of regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer.
• Resolves all denials, and requests for information, including appeals.
• Identifies trends in payer non-compliance and informs management accordingly.
• Follows up on outstanding accounts and makes proper notations in EPIC system and logs.

Minimum Qualifications

• High School Diploma or GED.
• Minimum of two years of experience working in a medical setting, to include medical insurance and/or accounts receivable follow-up.

Preferred Qualifications

• Prior experience working in a medical setting.
• Experience working with A/R follow up and insurance company representatives for claim status.
• Experience submitting an appeal for reimbursement. 
• Experience accessing the payer website for claim information.