Jobs in America

Insurance Specialist II - Remote Opportunity

United
FULL TIME
High School 1 Year

While the job is situated in United, it is a remote position that allows you to work from any location that is convenient for you. A minimum requirement for this job vacancy is having passed High School. The job listing for the Insurance Specialist II - Remote Opportunity position was initiated on January 11, 2024, and it will come to an end on April 10, 2024. A minimum of 12 months of work experience in the same field is necessary for this job. Since the employer does not disclose the salary, you can negotiate based on the company's innovation and research and development capabilities. full time work can offer unique challenges and rewards - is that something you're interested in?

About Xtend Healthcare
Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at www.xtendhealthcare.net.

THESE POSITIONS ARE REMOTE (WORK FROM HOME).

ALL WORK MUST BE PERFORMED IN THE UNITED STATES.

Required:

  • High speed internet access (Minimum 10 MBPS upload speed and 100 MBPS download speed)
  • You must have broadband with the ability to use a provided ethernet cord and be hard wired into your server from the router/modem. You will not be able to use Wi-Fi, satellite or a hot spot.

Xtend Healthcare is looking for an Insurance Specialist II who will be responsible for review and resolution of outstanding insurance balances on hospital or physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client and federal guidelines.

JOB SUMMARY:

1. Effectively manages assigned insurance receivables to achieve business line expectations.

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  • 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.

2. Perform account research and route accounts through appropriate client workflows.

  • Ability to understand, navigate and perform research of account within client host systems.
  • Exceptionalunderstanding 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 request 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.

3. 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.

4. 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.
  • Attend training sessions as directed by management.
  • Integrate information obtained through training sessions and policy changes immediately into daily routine.

MINIMUM REQUIREMENTS:

  • High school diploma (additional equivalent experience above the required minimum may substitute for the required level of education)
  • 1 year of accounts receivables hospital's experience (additional equivalent healthcare education above the required minimum may substitute for the required level of experience)
  • Excellent oral and written communication skills
  • Basic computer skills
  • Familiar with widely used patient accounting software

PREFERRED QUALIFICATIONS:

  • EPIC experience a plus
  • Organization, planning and prioritizing
  • Communication skills
  • Data management
  • Attention to detail and accuracy
  • Problem-solving
  • Adaptability and flexibility
  • Possess excellent reading and writing skills
  • Strong Computer skills

To avoid any confusion or misunderstandings, read the job posting carefully before applying. Please make sure to consider if this job is the right fit for you before submitting an application. When it comes to job applications, it's better to take a little extra time to ensure that your work is accurate and complete than to rush and make mistakes. If you are convinced that this job is the right fit for you, we encourage you to submit your application.