Insurance Information Coordinator

Med-Metrix; Pasig; On-site; PHP 200,880 - 279,000; Full time

Benefits offered by this job

8-Hour Shifts, Fixed Weekends Off

Day 1 HMO for dependents

Group Life Insurance

Medical Cash Allowance

Free Lunch Daily

Paid Time Off

Training and Staff Development

Job summary

A healthcare solutions provider located in Pasig seeks an Insurance Information Coordinator to support the Collections and Denial Management department. Responsibilities include verifying member benefits and researching claims with insurance companies. Candidates should possess a high school diploma, experience with insurance claims, and proficiency in Microsoft Office. The job operates on US hours with a night shift, requiring flexibility. The successful candidate will demonstrate strong communication and organizational skills while ensuring compliance with HIPAA standards.

Qualifications

• Must have a High School diploma or equivalent.
• Experience with insurance claims, EOBs or denials is required.
• Proficiency in Microsoft Office applications is a must.

Responsibilities

• Verify member benefits and claims information with insurance companies.
• Research claims through hospital/state databases.
• Provide updates to management about claims.

Skills

Insurance claims experience

Microsoft Office proficiency

Communication skills

Organizational skills

Customer service skills

Data entry skills

Education

High School diploma or equivalent

Tools

EAGLE

NAVI-Net

Epic

I-SUITE

Job description

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

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
• 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

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
• 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

Working Conditions

• Work Set-Up: Onsite
• Work Schedule: US hours, night shift; must be flexible to accommodate business needs.
• 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.