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Claims Coordinator

Unified Physician Management Addison Full-Time
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The Claims Coordinator is an Accounts Receivable Specialist responsible for resolving claims issues arising from denials, underpayments, payments not made according to contractual agreements, and payer processing issues. Duties include but are not limited to:

  • Monitor A/R and Collections of assigned payers
  • Effective communication (written and oral) with internal teams, clients, and payers
  • Follow up on unpaid insurance claims
  • Determine accuracy of Insurance payments and follow up on discrepancies
  • Review and coordinate the appeal of denied claims
  • Identify and resolve Coordination of Benefit issues
  • Run and build reports as required
  •  

Skills/ Requirements 

  • Education in lieu of experience considered
  • Minimum of 5 years experience interpreting insurance explanation of benefits, plan benefits, and patient benefits/liability
  • Minimum of 5 years experience working with medical claims (CMS1500, UB04), insurance billing, payment posting, insurance collections, appeals, and medical records requirements/requests
  • Must possess excellent customer service skills communicating logically and clearly (verbally and in writing)
  • Experience and knowledge of insurance payer websites (e-appeals & verification of eligibility)
  • Experience with Microsoft Office
  • Knowledge of Insurance guidelines and contracting information according to industry standards
  • Knowledge of Medical Billing & Coding or Certification is a plus
  • Knowledge of governmental insurance especially Medicare and Medicaid according to industry standards

Skills required

Claims
Collections
Billing
Insurance
Call Centers
Written Communication
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Unified
Physician Management, LLC (UPM)
and its
physician partners have assembled the nation’s largest network of Ob-Gyns
operating in Florida, Georgia, North Carolina, Washington, Texas, Maryland,
Virginia, and the District of Columbia. Through its partner organizations,
Unified Women’s Healthcare, PL (UWH) and Capital Women’s Care, UPM has created
the only national, private practice women’s health group with a singular vision
of patient centered care and physician governance.



Established in 2009, UPM and its physician partners have
set out to preserve personalized healthcare and be recognized as a premier
thought leader in the field of women’s health. The goal is to preserve the
private practice of medicine and preserve the economic security of Ob-Gyns for
the foreseeable future.



Specialties

Management Services Organization, OB/GYN Practice Management, Physician
Management Partner, Women's Healthcare 

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