Semi-Senior

Virtual Medical Claims Coordinator

A Virtual Medical Claims Coordinator is responsible for managing and processing medical insurance claims in a remote setting. This role involves assessing and verifying claims for accuracy and completeness, facilitating communication between healthcare providers, insurance companies, and patients, and ensuring timely reimbursements. They utilize specialized software to handle electronic claims submissions, track claim statuses, and resolve discrepancies. Strong organizational skills, attention to detail, and a comprehensive understanding of medical billing codes and insurance regulations are essential for success in this position.

Responsabilities

As a Virtual Medical Claims Coordinator, you will be tasked with meticulously reviewing and processing incoming medical insurance claims. This includes verifying the accuracy and completeness of claim submissions, cross-checking them against medical billing codes and insurance guidelines to ensure compliance. You will manage electronic claims submissions using specialized software, track the status of each claim from initiation to completion, and address any discrepancies or errors that arise. Maintaining up-to-date knowledge of insurance policies and regulations is crucial, as you will apply this expertise to identify and resolve complex claim issues.

In addition to claims processing, your responsibilities will extend to serving as a pivotal communication link between healthcare providers, insurance companies, and patients. You will facilitate the exchange of necessary documentation and information, ensuring that all parties are informed and that claims are settled efficiently. Your role will also involve negotiating settlements and reimbursements when necessary, always striving to achieve timely and equitable resolutions. Strong organizational skills, attention to detail, and the ability to prioritize tasks effectively are essential to manage the diverse and dynamic demands of this role.