Clerk - Med-Metrix LLC : Job Details

Job PurposeThe Clerk supports the Denial Management Department in the denials process for client hospitals. In this role, the Clerk gathers and disseminates information from hospitals, physicians, and insurance companies pertaining to referred claims denied.Duties and ResponsibilitiesManually enter new cases referred from clients into database as neededUpdate database with information gathered from correspondenceLearn various applications, etc., including gAIge, Epic, Eagle, Epremis, Medi-TechSet follow-up reminders in OutlookReview daily reports for updates and due datesSend updates on document requests received throughout the dayFax appeals and all pertinent documentsFax documentation to insurance carriers via portals, email, mail or faxWork within gAIge to update daily tasks assigned on work queueLog into all hospital applications and insurance carrier portals every two weeksSubmit appeals, correspondence, and medical records via carrier portalsScan and label correspondence received daily via mail, email, or faxNavigate hospital applications to obtain balances, charges, and UB documentsDownload reports from portals for updatesAssist with the outgoing mail processScan documents into databaseAssist patients with questions related to statuses of their accountsUse, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsQualificationsHigh School Diploma or equivalentMust be courteous and possess a strong work ethic, with the ability to work in a fast-paced environmentPossess clear, concise verbal and written communication skillsProficient in Microsoft Office applications (Word, Outlook, Excel, EPIC)Detail-oriented, resourceful, and analytical with ability to multitaskHave strong organization and time-management skillsAbility to learn proprietary databasesWorking ConditionsPhysical 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.