Insurance Information Coordinator - Remote

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.