Medical Claims Coordinator

Medical Claims Coordinator - Remote | Insurance Billing & Compliance

Job Description

We are seeking a Medical Claims Coordinator with strong experience in medical billing, insurance claims processing, and compliance. This role is responsible for accurate and timely submission of medical insurance claims to commercial, government, and managed care payers. The ideal candidate will ensure clean claim submission, monitor claim status, and resolve outstanding issues to maximize first-pass acceptance rates.

Key Responsibilities

• Submit medical insurance claims via electronic and manual billing systems.
• Verify claim status and follow up on unpaid or denied claims.
• Respond to medical records requests and payer inquiries promptly.
• Ensure compliance with HIPAA, Medicare, and state/federal billing regulations.
• Analyze claim trends and implement process improvements for clean-claim performance.
• Communicate effectively with patients, providers, and insurance companies.
• Maintain accurate documentation and adhere to medical billing best practices.
• Strong knowledge of medical billing, claims processing, and insurance verification.
• Familiarity with Medicare, Medicaid, HMO, PPO, and commercial insurance plans.
• Proficiency in electronic billing systems and medical coding standards.
• Detail-oriented with excellent organizational and communication skills.
• Ability to work independently and in a team environment.

Qualifications

• Bachelor's degree or equivalent experience preferred.
• 4+ years of experience in medical billing or claims submission.
• Medical Billing Certification highly desirable.
• Pay: $58,000 - $65,000 annually
• Schedule: Monday-Friday | 8:00 AM - 4:30 PM
• Location: Fully Remote
• Type: Temp-to-Hire (permanent after 720 hours)

Benefits During Contract (Roth Staffing)

• Hospital Indemnity, Accident & Critical Illness plans
• Life Insurance & Short-Term Disability
• Earned Safe & Sick Time
• Discount programs for entertainment, travel, and shopping

Benefits Upon Conversion

• 85% employer-paid medical coverage
• HSA with company contribution
• Life Insurance, Long-Term & Short-Term Disability
• 3% 401(k) contribution
• Employee Stock Ownership Plan
• 38 paid days off (PTO, holidays, personal days)
• Holiday and Year-End bonus eligibility
• Tuition reimbursement up to $5,000
• Cell phone and internet reimbursement

Why Join Us?

• Collaborative, growth-oriented team
• Strong mission-driven culture
• Fun perks like catered breakfasts, monthly luncheons, and team outings
• Opportunities for advancement and professional development

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.