Insurance Specialist

Role Overview

• Effectively manages assigned insurance receivables to achieve business line expectations
• Meets productivity standards as outlined by business line
• Achieves a minimum of 85% work quality scoring and accuracy on all accounts worked
• Completes timely follow-up on assigned accounts to ensure no cash loss
• Meets monthly cash expectations as set out for assigned client receivables
• Ensures insurance accounts are resolved within 90 days of placement
• Demonstrates the ability to prioritize work with some oversight to meet outlined goals
• Perform account research and route accounts through appropriate client workflows
• Ability to understand, navigate and perform research of account within client host systems
• Exceptional understanding of patient accounting systems allowing for ease of transition and learning of new systems as needed by business line
• Clearly documents actions taken and next steps for account resolution in patient accounting system
• Excellent working knowledge of Prism system and displays clear understanding of claim updates, request workflow, and action step entry into the system
• Appropriately makes requests for documentation based on account needs and compliance guidelines
• Ability to navigate billing system to perform basic claim billing functions
• Clearly prepares appeals for payment to insurance company when appropriate
• Ensure strong communication skills to convey intricate account information
• Ensure all accounts are worked within client standards and Federal Regulations
• Maintain high quality account handling per client standards
• Work within federal, state regulations, department/division & all Compliance Policies
• Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications
• Maintain continuing education, training in industry career development
• Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.
• Attends training sessions as directed by management
• Integrate information obtained through training sessions and policy changes immediately into daily routine

Requirements

• 1 year of experience in a health care receivables environment
• High School Diploma
• Excellent oral and written communication skills
• basic computer skills
• familiarity with widely used patient accounting software
• Data management skills
• attention to detail and accuracy
• good problem-solving skills
• Ability to communicate successfully with patients, hospitals, insurance companies and Xtend Employees
• Able to work individually and as part of a team
• Possess ability to concentrate for long periods of time
• Proficient in numeracy skills and above average knowledge of administrative procedures.

Benefits

• Professional development
• flexible work arrangements.