Medical Claims Coordinator

Job Description

Job Description

Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah.

If you’re a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! Apply today and help us continue delivering exceptional care to those who need it most.

The CoE Coordinator integrates responsibilities within the patient development process, focusing on the efficient handling of medical records, timely completion of impairment ratings, and seamless coordination with stakeholders. This role plays a pivotal part in coordinating communication with Authorized Representatives (ARs), IR Physicians, and all stakeholders, ensuring seamless service coordination and advocacy for patient benefits.

Responsibilities: 

• Initiate Medical Record requests, upon receipt provide a thorough review utilize clinical expertise to research, analyze, and interpret patient medical records, testing, and assessments. 
• Initiate requests for medical records from relevant sources and ensure timely receipt.
• Review, process, and organize medical records with precision to ensure accuracy and completeness. 
  Foster positive relationships with internal staff and external hospital and medical group records departments.
• Coordinate testing orders from IR or Primary Care Physicians, ensuring efficient scheduling and processing.
  Compile comprehensive documentation packets for Impairment Rating appointments.
• Submit packets to respective Authorized Representatives and IR Physicians promptly.
• Inform patients of scheduled Impairment Ratings and provide necessary reminders.
• Educate patients on the content during an impairment rating interview, utilizing community liaisons for potential support in attending with patient in home when necessary.  
• Ensure professionalism and facilitating smooth communication and documentation.
• Maintain accurate records of patient interactions, services provided, and outcomes.
• Generate documentation to track patient IR progress, monitor AR trackers, and evaluate program effectiveness.
• Ensure accurate and up-to-date records of all IRs, providing regular updates to internal and external  stakeholders.

Qualifications: 

• Bachelor’s degree in Healthcare Administration, Public Health or related field preferred
  1 to 3 years of healthcare experience, proficiency in EMRs, and medical content interpretation.
• Familiarity with healthcare programs and benefits, particularly the Department of Energy Employees.
• Occupational Illness Compensation (DEEOIC) program, or the (RECA) Radiation Exposure Compensation Act is preferred.
• Proficiency in Microsoft Office Suite and other relevant software is required.

Benefits:

• 7 1/2 day paid holidays, to include floating holiday, and birthday holiday.
• $100 monthly cellphone reimbursement.
• $150 Lifestyle Reimbursement annually.
• Modern Health mental wellness.
• Tuition Reimbursement Program.
• Employee Assistance Program.
• Employee Appreciation Program.
• Company Provided Snacks & Drinks Daily in Office Kitchen.
• Vacation (PTO) and Sick Days.
• Competitive benefit plans.
• Company paid STD and LTD.
• 401(k) with matching

To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. We’re committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers.

If you’re ready to be part of an organization that truly makes a difference in people’s lives, we encourage you to apply today and start a fulfilling journey with Giving Home!

Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices.

 

Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination.

 

Giving Home is committed to maintaining transparent compensation practices and regularly reviews our policies to ensure compliance with evolving laws and best practices. We value the contributions of our employees and strive to provide a work environment where everyone feels respected, valued, and fairly compensated.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.