Clinic Insurance Analyst

Cone Health; Greensboro (NC); On-site; USD 42,000 - 62,000; Full time

Job summary

Cone Health in Greensboro, NC is seeking a Clinic Insurance Analyst to handle insurance processing and assist patients with account inquiries under general supervision.

You will review and post EOBs and ERAs, perform account research, address inquiries, and collaborate with the Revenue Cycle team to improve billing accuracy and reimbursements. Strong communication and attention to detail are essential for success in this on-site role.

Qualifications

• Requires 2 years of relevant experience in medical billing or insurance processing.
• High school diploma or equivalent is required.
• Strong research and problem-solving skills for account resolution.

Responsibilities

• Reviews and processes accounts in work queues for medical practices to ensure timely resolution and accurate billing.
• Addresses billing inquiries from patients and stakeholders with clear explanations and solutions.
• Identifies and reports payment patterns and denial trends to optimize reimbursement.
• Retrieves and posts EOBs and ERAs, generating reconciliation reports for accurate payments.
• Collaborates with the finance team to reconcile accounts and assist in financial reporting.
• Performs other duties as assigned.

Skills

Insurance billing

Account research

Patient service

Payment posting

Education

High School Diploma

Job description

The Clinic Insurance Analyst handles insurance-related tasks and assists patients with inquiries regarding their accounts, combining insurance processing with customer service responsibilities. Working under general supervision, this position communicates with insurance companies as needed to resolve insurance processing issues.

Essential Job Function:

• Reviews and processes accounts in work queues for medical practices in order to ensure timely resolution and accurate billing.


• Addresses billing inquiries and concerns from patients and stakeholders, offering clear explanations and solutions, while conducting thorough account research or escalating matters to appropriate team members or managers, ensuring patient satisfaction and accurate billing information.


• Identifies and reports payment patterns and denial trends encountered during payment posting to the Revenue Cycle Manager, facilitating proactive measures to address issues and optimize reimbursement processes.


• Performs daily retrieval and posting of Electronic Explanation of Benefits (EOB's) for designated payors, processes Electronic Remittance Advice (ERA's), and generates comprehensive reconciliation reports, guaranteeing accurate payment application and financial transparency.


• Collaborates with the finance team to reconcile accounts and payments, ensuring financial accuracy, aiding in the preparation of financial reports, and supporting effective decision-making.


• Performs other duties as assigned.

Education:

• Required: High School Diploma or equivalent.

Experience:

• Required: 2 Years