SIU Coordinator - Remote
Read straight from Martin’s Point Health Care's careers page, verified 22h ago.Seekless can tailor your résumé to it.
Seekless can write your résumé for this posting first.
Before you apply
LocationPortland, ME
Work moderemote · United States
Typefull-time
SeniorityEntry
Company size501–1,000 people
PostedNov 4, 2026 · 4d ago
Verified live22h ago
At a glanceSummarised by Seekless from the posting.
Provides operational, administrative, and analytical support to the Special Investigations Unit
Manages SIU intake; receives, logs, and acknowledges referrals
Coordinates medical records requests
Prepares and issues standard SIU correspondence
Maintains the SIU case management system and SharePoint site
Compiles monthly and quarterly SIU metrics
Tracks regulatory and contractual deadlines
Helps investigators with claims data pulls, spreadsheet analysis, and exhibit preparation
May investigate low-complexity cases under supervision
About the company
Join Martin’s Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of “people caring for people,” Martin’s Point employees are on a mission to transform our health care system while creating a healthier community. Martin’s Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin’s Point has been certified as a “Great Place to Work” since 2015.
Position Summary
The SIU Coordinator provides operational, administrative, and analytical support to the Special Investigations Unit (SIU) across the Generations Advantage and US Family Health Plan lines of business. The Coordinator is the SIU’s intake hub. The role manages referral intake and preliminary claims research, medical records requests, standard written correspondence, deadline tracking, case management system administration, and metrics reporting. It reports to the Director, SIU, and serves as an entry point into an investigative career path.
Job Description
PRIMARY DUTIES AND RESPONSIBILITIES
•
Manages SIU intake. Receives, logs, and acknowledges referrals from the hotline, internal departments, members, providers, and external agencies. Does preliminary research to support triage, including eligibility, claims history, and provider enrollment.
•
Coordinates medical records requests. Tracks due dates, follows up on outstanding requests, and maintains records intake and documentation logs.
•
Prepares and issues standard SIU correspondence from the SIU department template library under the Director’s or Investigator’s direction. Examples include records requests, payment hold notifications, prepayment review notices, and acknowledgements.
•
Maintains the SIU case management system and SharePoint site, keeps the data accurate, and runs routine reports.
•
Compiles monthly and quarterly SIU metrics for leadership, the Compliance Committee, and regulatory reporting.
•
Tracks regulatory and contractual deadlines, including referral timeframes and responses to CMS and DHA requests for information.
•
Helps investigators with claims data pulls, spreadsheet analysis, and exhibit preparation. May investigate low-complexity cases under supervision.
Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization.
More roles at Martin’s Point Health Care