Medical Claims Coordinator/Processor

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: 08/31/2026
Benefits: Paid weekly, health, dental + vision insurance available!

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.

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