HIP Customer Relations Coordinator
Company: HAART Inc
Location: Baton Rouge
Posted on: March 16, 2023
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Job Description:
Job 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:
1. Satisfies Core Competencies
Accepts responsibility for ensuring that performance meets the
standards of the professional, ethical and relevant legislated
requirements
2. 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.
3. 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.
4. 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.
5. 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
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. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.
---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
Work Environment:
The work environment characteristics described here are
representative of those the employee encounters while performing
the essential functions of this job. Reasonable accommodations may
be made to enable individuals with disabilities to perform the
essential functions.
---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.
Travel or Special Requirements:
Driving during the workday as well as local or out of state travel
may be required to perform job duties.
Keywords: HAART Inc, Baton Rouge , HIP Customer Relations Coordinator, Other , Baton Rouge, Louisiana
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