Insurance Information Coordinator – Remote JOB ID 1254

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.

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.