Insurance Specialist - EPIC & HB Experience Required

About the role

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Responsibilities

• Manage assigned insurance receivables to achieve business line expectations
• Meet productivity standards as outlined by business line
• Maintain quality and accuracy on all accounts worked
• Complete timely follow-up on assigned accounts to ensure no cash loss
• Meet monthly cash expectations as set out for assigned client receivables
• Ensure insurance accounts are resolved within defined SLA
• Demonstrate the ability to prioritize work with some oversight to meet outlined goals
• Perform account research and route accounts through appropriate client workflows
• Navigate and research accounts within client host systems
• Apply exceptional understanding of patient accounting systems to ease transition and learning of new systems as needed by business line
• Document actions taken and next steps for account resolution in patient accounting system
• Demonstrate excellent working knowledge of Epic & Prism systems and clear understanding of claim updates, request workflow, and action step entry into the system
• Make requests for documentation based on account needs and compliance guidelines
• Navigate billing system to perform basic claim billing functions
• Prepare appeals for payment to insurance company when appropriate
• Communicate intricate account information clearly
• 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 and 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, Privacy Act, FCRA, etc.
• Attend training sessions as directed by management
• Integrate information obtained through training sessions and policy changes immediately into daily routine

Requirements

• 4+ years of experience in a healthcare receivables environment, primarily HB
• 4+ years of Epic experience
• 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
• Ability 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

Physical demands

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6–8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.