Medical Claims Coordinator/Processor Job Listing at Kelly Services in Paramus, NJ (Job ID 10118874)

Description

Position: Claims Coordinator (Medical Biller)

Company: Luxottica / Team Vision

Location: Paramus, NJ 07652 (Hybrid – 2x a week in office)

Work type: Temp to Perm, 6 months

Schedule: 9:00 AM – 5:00 PM, Monday through Friday

Payrate: $22.1/hr (flexible with experience)

# of Positions Needed: 1

Responsibilities:

• Review and submit medical claims to insurance carriers using the practice EHR system and clearing house.

• Monitor rejected claim reports, adjust claims, and resubmit to insurance carriers.

• Download Explanation of Payments (EOPs) to post claim payments and denials in the EHR system.

• Determine if denied claims can be corrected and re-submitted.

• Research open/unpaid balances using aging reports and follow up within filing limits.

• Utilize insurance carrier websites and contact carriers to investigate claim denials or status.

• Coordinate with clearing house to distribute patient billing statements and monitor patient portal payments.

• Initiate overpayment refunds to patients and repayments to insurance carriers.

• Serve as the primary point of contact for the practice regarding vision and medical claims.

• Support the corporate manager in maximizing claim collection rates.

• Complete OIG/GSA/OFAC compliance screening prior to placement.

Qualifications:

Basic Qualifications:

• High school diploma

• 3+ years of experience in medical billing and coding

• Knowledge of handling multiple insurance carriers and their claim processes

• Strong organizational and multitasking skills

• Effective verbal, written, and listening communication skills

• Ability to prioritize issues and resolve problems efficiently

Preferred Qualifications:

• Experience working in multiple doctor practices

• Proven ability to identify and solve issues independently

• Familiarity with multiple insurance carriers' claim requirements

Physical / Work Environment Requirements:

• Office-based role with hybrid schedule (2 days in-office, remainder remote)

• Computer-intensive work requiring attention to detail

• Regular communication with internal teams and external insurance carriers

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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