Insurance Specialist

CorroHealth, Inc.; United States; Hybrid; USD 55,000 - 75,000; Full time

Job summary

CorroHealth, Inc. is a remote-based employer serving the United States, seeking an Insurance Specialist to review and resolve hospital-based insurance balances.

You will use Epic and Prism to drive timely cash recoveries while adhering to federal guidelines. Ideal candidates have 4+ years in healthcare receivables, strong analytical and communication skills, and the ability to operate effectively in a fully remote setting.

Qualifications

• 4+ years of experience in a healthcare receivables environment, HB focus.
• Proficient with Epic and hospital systems.
• Strong communication and data management skills.
• Ability to work remotely in the United States.

Responsibilities

• Effectively manages assigned insurance receivables to achieve goals.
• Meets productivity standards as outlined by the business line.
• Maintains quality and accuracy on all accounts worked.
• Completes timely follow-up on assigned accounts to ensure cash recovery.
• Meets monthly cash expectations for client receivables.
• Ensures insurance accounts are resolved within defined SLA.
• Documents actions and next steps clearly in the patient accounting system.
• Prepare appeals for payment to insurance companies when appropriate.

Skills

Healthcare receivables management

Analytical skills

Effective communication

Team collaboration

Education

High School Diploma

Tools

Epic Systems

Prism

Patient accounting software

Job description

About Us

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.

JOB SUMMARY

This position is 100% REMOTE. Must reside in the United States

The Insurance Specialist is responsible for review and resolution of outstanding insurance balances on hospital-based (HB) patient accounts. The Insurance Specialist will be required to have extensive experience using Epic, 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

ESSENTIAL DUTIES AND RESPONSIBILITIES

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. This position is 100% REMOTE. Must reside in the United States Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Effectively manages assigned insurance receivables to achieve business line expectations
• Meets productivity standards as outlined by business line
• Maintains quality 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 defined SLA
• 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 Epic & Prism systems 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, Privacy Act, FCRA, etc.
• Attends training sessions as directed by management
• Integrate information obtained through training sessions and policy changes immediately into daily routine

MINIMUM QUALIFICATIONS & 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
• 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

PHYSICAL DEMANDS

Note: 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. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers. CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com. Applicants will only receive job-related emails from the domain @corrohealth.com. Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.