Insurance Coordinator

Description

Job Title: Insurance Coordinator

Department: Business Office 

Reports To: Business Office Manager

FLSA Status: Non-Exempt

Hours: 40/week 

Shift: Days, with the option to work remotely one to two days per week

Here at Franklin County Medical Center, we have a vision: be the premier healthcare provider and facility of choice for the community. A non-profit critical access hospital, we house 20 beds in our acute care facility and 35 beds in our nursing facility. FCMC was recognized as one of the “Top 100 Critical Access Hospitals” in the nation for four consecutive years from 2017-2020. Always committed to improvement, we are working to be in the top 20 critical access hospitals and are also currently constructing a new 24,000 square foot medical office to bring better access, accommodations, and services to the community.

As the largest employer in Franklin County, we understand that our team members, including those in our Business Office, are vital to upholding our high standards. We show our appreciation through competitive wages, flexible scheduling, encouraging a healthy work/life balance, and providing opportunity for education and growth through tuition assistance and promotions.

WHAT FCMC CAN DO FOR YOU

We offer a range of amazing benefits for our part-time employees, including:

• Medical 
• Dental 
• Vision
• Basic Life Insurance
• Voluntary Life Insurance
• Short Term Disability
• Retirement Plans
• Paid Time Off

Part-time employees can enjoy Medical, Dental, Vision, Basic Life Insurance, Voluntary Life Insurance, Short Term Disability, Long Term Disability, Retirement Plans, and Paid Time Off. 

WHAT YOU CAN DO FOR FCMC

Our Insurance Coordinator is responsible for organizing, maintaining, and verifying all aspects of the insurance credentialing process for the physicians and FCMC facilities. This important process ensures that FCMC maintains high-quality standards. More specifically, these responsibilities include:

• Ensuring that all physician and facility credentialing and recredentialing applications and information are completed, accurate, and up-to-date with all contracted payers and networks
• Developing, tracking, and maintaining physician and facility rosters to keep accurate and detailed records on the physicians and facilities
• Tracking the expiration of certifications and privileges to maintain up-to-date files 
• Ensuring payer enrollment information is complete, accurate, and up-to-date for all active Electronic Health Records systems for physicians and facilities
• Maintaining physician and facility attestations and consent forms with significant payers, networks, and databases
• Providing payers and networks with requested documentation on physicians and facilities
• Coordinating with payers and networks available in our area and the surrounding areas
• Organizing, maintaining, and tracking insurance contracts, including term dates, and coordinating contract reviews and negotiations with authorized parties
• Maintaining and updating physician and facility malpractice and liability insurances with preferred vendors
• Must comply with HIPAA to protect information that is sensitive, proprietary, or confidential 
• Must wear Personal Protective Equipment (PPE) as situations require to maintain infection control standards set by the facility 

Requirements

Qualifications:

• High school diploma or GED
• Experience with health insurance products and processes is a must
• Excellent organizational and prioritizing skills
• Computer literacy in Microsoft Word, Excel, and Outlook
• Good communication and comprehension skills, both oral and written, in the English language
• Ability to effectively problem solve, work independently, manage time, organize work, and meet deadlines and goals
• Ability to maintain confidential information

Essential Job Functions:

• Regular and predictable attendance is required
• Regularly required to sit, bend, stoop, and stretch
• Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, copy machine, telephone, calculator, and other office equipment
• Requires normal range of hearing and eyesight
• Occasionally requires lifting papers or boxes up to 50 pounds

Work Environment:

• FCMC operates 24 hours per day each day of the year: operational needs of departments may require that you be available to work all shifts, weekends, and holidays to meet the needs of the patients
• This role works in typical office conditions with a low noise level

The Location:

Located in southeast Idaho, Franklin County is surrounded by the beautiful Rocky Mountains, giving ample opportunity for outdoor recreation. However, being less than thirty minutes from Logan, Utah and one hour from Pocatello, Idaho provides locals with a variety of shopping, dining, and entertainment options both here in the county and in nearby cities. Franklin County Medical Center invites you to make Franklin County your new home and join us in offering top-notch healthcare to your new community.