Insurance Information Coordinator

Med-Metrix; Village of Garden City (NY); On-site; USD 36,000 - 56,000; Full time

Job summary

A leading healthcare company is looking for an Insurance Information Coordinator to support its Collections and Denial Management department. This role involves verifying member benefits, researching claims, and managing patient information in compliance with HIPAA. Ideal candidates are detail-oriented with excellent communication and customer service skills.

Qualifications

• High School diploma required.
• Experience in insurance claims or handling EOBs.
• Proficient with Microsoft Office applications.

Responsibilities

• Verify member benefits and claims information.
• Research and organize claim appeals.
• Provide updates to management.

Skills

Communication

Organization

Customer Service

Data Entry

Investigation

Time Management

Education

High School diploma or equivalent

Tools

Microsoft Office

EAGLE

NAVI-Net

Epic

I-SUITE

Job description

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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.

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

• 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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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