HIP Customer Relations Coordinator III

HIP Customer Relations Coordinator III

Open Health Care Clinics

The HIP Customer Relations Coordinator performs a variety of functions, such as face-to-face contact with clients, assists clients with applications and insurance needs, researches premiums, communicates with Health Insurance Program Coordinator to resolve client issues, and monitors/delivers faxes appropriately.

• Satisfies Core Competencies
• Accepts responsibility for ensuring performance meets professional, ethical and legislative requirements
• 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
• Research claims using 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
• Perform related duties as assigned

A high school diploma required;
Associate degree in accounting or business preferred or four to six years accounting experience.

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.

• Regularly required to stand, sit, talk, hear, use hands and fingers to operate a computer and telephone keyboard reach
• Specific vision abilities required include close vision due to computer work
• Light to moderate lifting is required

• Moderate noise (business office with computers, phone, printers, light traffic)
• Ability to work in a confined area
• Ability to sit at a computer terminal for an extended period of time

Driving during the workday as well as local or out of state travel may be required to perform job duties.