Insurance Information Coordinator

2 weeks ago

Pasig, National Capital Region, Philippines Med-Metrix, LLC Full time
Job Description

Posted Thursday, May 15, 2025 at 4:00 PM

Join our dynamic team and make a meaningful impact in the healthcare industry. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix

Experience these exceptional benefits when you join Med-Metrix

  • Day 1 HMO with 2 of your dependents covered for FREE
  • Clothing Allowance
  • 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
  • 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 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
  • Solid investigative skills and a persistent demeanor
  • Reliable, detail-oriented, resourceful, and analytical

Working Conditions

  • Work Set-Up: Onsite
  • Work Schedule: Night shift, US hours
  • 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.

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