Job Information
Med-Metrix Insurance Information Coordinator in Pasig, Philippines
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.
Job Details
Pay Type Salary