Med-Metrix

Compensation

Full Description

Job Purpose The Insurance Information Coordinator supports the Collections and/or Denial Management department by gathering and disseminating information from hospitals and insurance companies pertaining to referred claims. Duties and Responsibilities Verify member benefits, effective dates, claims and appeal information with insurance companies Research claims and insurance information through hospital/state databases Organize time frames in which claims must be appealed Use Microsoft Outlook to set follow-up reminders Provide daily/weekly updates to management Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High School diploma or equivalent required Experience with insurance claims, review of EOBs or denials Experience with EAGLE, NAVI-Net, Epic, and I-SUITE a plus Proficiency in Microsoft Office applications (Word, Excel, and Outlook) Must be comfortable speaking with external contacts, including insurance company representatives Solid data entry skills and the ability to learn proprietary databases Strong verbal and written communication skills Strong organization and time-management skills and the ability to work in a fast-paced environment Excellent customer service skills Solid investigative skills and a persistent demeanor Reliable, detail-oriented, resourceful, and analytical Working Conditions Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.