Insurance Specialist Revenue Cycle

Henry Ford Health; Troy (MI); On-site; USD 42,000 - 64,000; Full time

Job summary

Henry Ford Health is hiring an Insurance Specialist in Revenue Cycle to verify patient insurance details from pre-admission through discharge. You will gather benefit information, confirm eligibility, and ensure all requirements, including referrals and authorizations, are met.

You’ll resolve complex COB questions and protect account accuracy in a fast-paced setting. The role demands strong attention to detail, multitasking ability, and proficiency with Microsoft Office and payer systems.

Qualifications

• High school diploma or GED required.
• Two years of healthcare insurance experience in eligibility verification, insurance billing, or related revenue cycle functions in a hospital or medical office setting.
• Knowledge of insurance coverage types, COB rules, and processing procedures.
• Experience with insurance payor systems.
• Strong computer skills and proficiency with Microsoft Office.
• Ability to multitask in a fast-paced environment with frequent interruptions.

Responsibilities

• Investigate and review insurance information at pre-admission and admission.
• Obtain benefit details such as co-pays, deductibles, and co-insurance amounts.
• Verify insurance eligibility and benefits to ensure all requirements are met, including referrals and authorizations.
• Resolve complex accounts to determine primary insurance and coordination of benefits (COB).

Skills

Attention to detail

Multitasking

Microsoft Office

Insurance payor systems

Education

High school diploma or GED

Tools

EPIC system

Job description

Job Description

As an Insurance Specialist in Revenue Cycle, you'll play a vital role in ensuring the financial integrity of patient accounts from pre-admission through discharge. Working under general supervision, you'll identify and verify the accuracy and completeness of financial, insurance, and demographic information for patients receiving care at HFHS, serving as the gatekeeper for account security. Your day-to-day responsibilities include investigating and reviewing insurance information upon pre-admission and admission, obtaining critical benefit details such as co-pays, deductibles, and co-insurance amounts, and verifying insurance eligibility and benefit information to confirm all insurance requirements are met—including referrals and authorizations. You'll resolve complex problem accounts to determine primary insurance and coordination of benefits (COB) information, ensuring seamless processing across our insurance payor systems. This position demands strong attention to detail, the ability to multitask in a fast-paced environment with frequent interruptions, and a commitment to maintaining the highest standards of accuracy and compliance in all revenue cycle operations.

Qualifications:

Qualifications

REQUIRED:

• High school diploma or GED equivalent
• Two (2) years of healthcare insurance experience (eligibility verification, insurance billing, or related revenue cycle functions in a hospital or medical office setting)
• Knowledge of insurance coverage types, coordination of benefits (COB) rules, and processing procedures
• Experience with insurance payor systems
• Strong computer skills and proficiency with Microsoft Office products
• Ability to multitask in a fast-paced environment with frequent interruptions

PREFERRED:

• EPIC system training or experience
• ICD-10 medical terminology knowledge
• Demonstrated ability to adapt to new technologies