Insurance Project Coordinator

Job Description:

Shift: Mon,Tue,Wed,Thu,Fri

The Insurance Project Coordinator is responsible for managing insurance follow-up initiatives for hospital and physician billing accounts. This role ensures effective claim resolution, achievement of insurance collection goals, and consistent communication with clients. The position requires strong knowledge of commercial and government payers and the ability to manage workflows, teams, and performance outcomes.

Key Responsibilities

Insurance Project & Collections Management

• Manage assigned insurance projects to ensure timely resolution of claims and achievement of established collection goals.
• Oversee high-volume insurance claim inventories, ensuring appropriate prioritization and workflow distribution.
• Monitor claim aging, denial trends, and appeal outcomes; recommend corrective actions to improve performance.
• Ensure follow-up, appeals, and research are completed in accordance with payer requirements and client expectations.

Workflow & Inventory Oversight

• Coordinate and manage daily, weekly, and monthly insurance work inventories across assigned accounts.
• Track productivity, turnaround times, and project benchmarks to ensure operational efficiency.
• Ensure all accounts are accurately documented and maintained within client systems.

Team Coordination & Supervision

• Provide guidance, direction, and support to insurance follow-up staff assigned to projects.
• Assist with training, mentoring, and quality monitoring to ensure consistent performance and compliance.
• Collaborate with leadership to identify staffing needs, workflow improvements, and process enhancements.

Client & Payer Communication

• Serve as a point of contact for client communication related to insurance projects, performance updates, and issue resolution.
• Communicate effectively with commercial and government payers to determine claim status and expedite payment.
• Prepare and provide project updates, reporting, and feedback as requested.

Work Schedule

Hybrid - 3 Days Office / 2 Days Remote - Monday-Friday with one Saturday per month (limited hours)
Experience and Skills:

Must have a combination of education and experience within the healthcare revenue cycle, including in-depth knowledge of commercial and government payers such as Medicare, Medicaid, VA, TRICARE, and Workers' Compensation. Insurance follow-up experience is required; billing knowledge is strongly preferred.

Required Minimum Skills

• Strong problem-solving and insurance claim troubleshooting skills
• Ability to manage multiple projects, priorities, and client systems simultaneously
• Proficiency in Microsoft Word and Excel
• Detail-oriented with strong organizational skills
• Ability to work independently and collaboratively within a team environment
• Flexible and adaptable to ongoing change
• Exceptional customer service and professional telephone skills
• Excellent verbal and written communication skills
• Strong attendance and reliability record

Education & Experience

• Bachelor's degree preferred but not required.
• Minimum 5 years of experience of medical insurance follow-up
• Working knowledge of Managed Care, Medicare, and Medicaid regulations
• Experience coordinating or leading insurance follow-up workflows
• Experience with anesthesia billing and follow-up is a plus but not required
• Knowledge of applicable regulations, including but not limited to client-specific policies, procedures, and HIPAA requirements.

From: Phoenix Workforce Solutions, LLC