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medmix · 4 months ago

Clerk

Garden City, NY, USA

Full-time

Onsite

New Grad, Entry Level

medmix is a company that focuses on denial management for client hospitals. The Clerk supports the Denial Management Department by gathering and disseminating information related to denied claims from hospitals, physicians, and insurance companies.

Health CareManufacturingMedicalMedical Device

Responsibilities

Manually enter new cases referred from clients into database as needed

Update database with information gathered from correspondence

Learn various applications, etc., including gAIge, Epic, Eagle, Epremis, Medi-Tech

Set follow-up reminders in Outlook

Review daily reports for updates and due dates

Send updates on document requests received throughout the day

Fax appeals and all pertinent documents

Fax documentation to insurance carriers via portals, email, mail or fax

Work within gAIge to update daily tasks assigned on work queue

Log into all hospital applications and insurance carrier portals every two weeks

Submit appeals, correspondence, and medical records via carrier portals

Scan and label correspondence received daily via mail, email, or fax

Navigate hospital applications to obtain balances, charges, and UB documents

Download reports from portals for updates

Assist with the outgoing mail process

Scan documents into database

Assist patients with questions related to statuses of their accounts

Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards