Insurance Information Coordinator - Remote
<p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"><span style="font-family: Montserrat; font-size: 10pt;"><strong style="font-weight: bolder;">Job Purpose</strong></span></p> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"><span style="font-family: Montserrat; font-size: 10pt;">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. </span></p> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"> </p> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"><span style="font-family: Montserrat; font-size: 10pt;"><strong style="font-weight: bolder;">Duties and Responsibilities</strong></span></p> <ul style="color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: #ffffff;"> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Verify member benefits, effective dates, claims and appeal information with insurance companies</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Research claims and insurance information through hospital/state databases</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Organize time frames in which claims must be appealed</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Use Microsoft Outlook to set follow-up reminders</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Provide daily/weekly updates to management</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards</span></li> </ul> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"><span style="font-family: Montserrat; font-size: 10pt;"><strong style="font-weight: bolder;">Qualifications</strong></span></p> <ul style="color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: #ffffff;"> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">High School diploma or equivalent required</span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 10pt; font-family: Montserrat;"><span style="font-size: 10pt; font-family: Montserrat;">Experience with insurance claims, review of EOBs or denials</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Experience with EAGLE, NAVI-Net, Epic, and I-SUITE a plus</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Proficiency in Microsoft Office applications (Word, Excel, and Outlook)</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Must be comfortable speaking with external contacts, including insurance company representatives</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Solid data entry skills and the ability to learn proprietary databases</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Strong verbal and written communication skills</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Strong organization and time-management skills and the ability to work in a fast-paced environment</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Excellent customer service skills </span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Solid investigative skills and a persistent demeanor</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Reliable, detail-oriented, resourceful, and analytical</span></li> </ul> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"><span style="font-family: Montserrat; font-size: 10pt;"><strong style="font-weight: bolder;">Working Conditions</strong></span></p> <ul> <li><span style="font-family: Montserrat; font-size: 10pt;">Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">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.</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.</span></li> <li style="font-family: Montserrat; font-size: 10pt;"><span style="font-family: Montserrat; font-size: 10pt;">Work Environment: The noise level in the work environment is usually minimal.</span></li> </ul> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"> </p> <p style="margin: 0px; font-size: 14px; line-height: 1.6; color: #222222; font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: #ffffff;"><span style="font-family: Montserrat; font-size: 10pt;"><em>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.</em></span></p>