Insurance Information Coordinator

Experience these exceptional benefits when you join Med-Metrix!

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Group Life Insurance
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Holiday Gift
• Bereavement Assistance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility
  
  

• 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
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  
  

• 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
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented 
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction
  
  

• 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.