Claims Coordinator, Enterprise
Kindbody
Claims Coordinator, Enterprise
Job details
Job type
- Full-time
Full job description
About Kindbody
Kindbody’s mission is to make fertility and family-building care affordable and accessible for all.
Founded in 2018, Kindbody has been recognized for technology innovation and industry leadership, Kindbody has been named to CNBC Disruptor 50, Fast Company’s Brands that Matter, Forbes Best Startup Employers, Inc.’s Best In Business list of most admired companies, as well as Deloitte Technology Fast 500™, which recognizes the fastest growing and most innovative technology companies in North America.
Kindbody is the leading U.S. fertility clinic network and global family-building benefits provider for employers on a mission to make fertility care more affordable and accessible for all. Kindbody serves patients at 26 state-of-the-art signature clinics and IVF labs, 400+ partner clinics, and in 113 countries around the world. Trusted by more than 140 employers, Kindbody’s physician-led model covers the full-spectrum of reproductive healthcare including fertility assessments, fertility preservation, genetic testing, IVF, donor and surrogacy services, adoption, postpartum care, and menopause support. Kindbody is the only fertility benefits provider that serves patients directly, delivering a seamless, integrated experience with superior health outcomes at lower cost. Kindbody has raised more than $315 million in debt and equity funding from leading investors including Perceptive Advisors, JP Morgan Chase’s Morgan Health, GV, RRE Ventures, Claritas Health Ventures, Rock Springs Capital, Distributed Ventures, Whatif Ventures and TQ Ventures.
Responsibilities
- Ensure and manage timely follow up on all unpaid claims utilizing monthly aging reports
- Effective communication abilities for phone contacts with insurance payers to resolve issues
- Demonstrate customer service skills for interacting with patients regarding medical claims and payments
- Oversee and perform research to resolve any discrepancies, denials, rejections, collections
- Manage and set up patient payment plans and work collection accounts
- Review patient bills for accuracy and completeness and obtain any missing information
- Oversee and manage the posting of payments.
- Oversee and process insurance payments, including balance billing to secondary insurance and/or directly to patients.
- Analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims.
- Properly note the system and maintain all documentation required for compliant claim submission.
- Respond to a high volume of inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
- Meet positional metrics and benchmarks.
- Maintain the highest degree of ethics when handling patient payments and bill processing
- Follow all department standard operating procedures carefully and accurately
- Other duties as assigned by supervisor.
General Administrative Duties:
- Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion
- Maintain clear communication and collaborate with stakeholders across the Enterprise team
- Other duties and projects as assigned
Who You Are
- 3-4+ years of health plan / medical insurance accounts receivable experience in a fast-paced, customer-focused environment, with fertility clinic experience a plus
- Experience in the employer benefits space is a plus
- A passion for women’s health, and fertility is a plus
- Strong written and verbal communication skills & a team player
- Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
- Detail-oriented with strong organizational skills
- Exemplifies amazing customer service skills and professionalism
- Experience in CPT and ICD-9 coding; familiarity with medical terminology
- Ability to manage relationships with various insurance payers
- Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
- Intermediate experience in Microsoft Excel
- Certificate from an accredited medical and billing school.