SIU Coordinator

Job Summary

The full-time remote SIU Coordinator will provide operational, administrative, and analytical support to the Special Investigations Unit, managing referral intake, medical records requests, and metrics reporting while serving as an entry point into an investigative career path.

Key responsibilities

• Manages SIU intake by logging and acknowledging referrals and conducting preliminary research to support triage
• Coordinates medical records requests, tracking due dates and maintaining documentation logs
• Maintains the SIU case management system and prepares standard correspondence under the direction of the Director or Investigator

Required qualifications

• Associate's degree or equivalent combination of education and experience required; Bachelor's degree preferred
• Two or more years of experience in health plan SIU operations, claims, compliance, or payment integrity required
• Experience with case management systems and SharePoint preferred
• Intermediate to advanced Excel skills
• Knowledge of medical terminology and claims processing preferred