- Satisfies Core Competencies
- Eligibility and Data Management
- Process add/change forms and churn notices per approval from LAHAP.
- Research information based on the Ramsell report ran daily and divided between Health Insurance Program Assistant.
- Report any discrepancies to LAHAP when applicable.
- Claim Management
- Research claims using the accounting spreadsheets ensuring non-duplication of payments.
- Research claims using Ramsell to ensure client eligibility during date of service.
- Match claims and explanation of benefits to verify cost-share amount.
- Forward all ineligible claims to data entry for tracking purposes and mailing of denial letters to providers, clients, and/or case manager.
- Client Management
- Open ticket and research inquiry
- Forward detailed ticket to HIP Accounting Bookkeeper when premium payments are needed.
- Close tickets once the inquiry has been answered or resolved.
- Respond to inquiries received by phone from clients and providers.
- Other Duties
- Adhere to departmental policies, procedures and objectives
- Maintain patient confidentiality and comply with all federal and state health information privacy laws.
- Performs related duties as assigned
- While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach
- Specific vision abilities required by this job include close vision requirements due to computer work
- Light to moderate lifting is required
- Moderate noise (i.e. business office with computers, phone, and printers, light traffic).
- Ability to work in a confined area.
- Ability to sit at a computer terminal for an extended period of time.
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HIP Customer Relations Coordinator - Baton Rouge, United States - Open Health Care Clinic
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Description
Job Description
Job DescriptionJob Purpose:
The Health Insurance Program Customer Relations Coordinator performs a variety of functions; such as face-to-face contact with clients, assisting clients with applications and insurance needs, researching premiums for bookkeepers, communicating directly with Health Insurance Program Coordinator to resolve any client issues, and monitoring/delivering faxes appropriately.
Essential Job Functions including, but not limited to:
Required Education:
A high school diploma required; Associate degree in accounting or business preferred or four to six years accounting experience.
Physical Demands:
The physical demands described here are representative of those that must be met by the employee to successfully perform the essential functions of this job.
Work Environment:
The work environment characteristics described here are representative of those the employee encounters while performing the essential functions of this job.
Travel or Special Requirements:
Driving during the workday as well as local or out of state travel may be required to perform job duties.