Remote Insurance Eligibility & Authorization Analyst

Cape Cod Healthcare; Hyannis (MA); Hybrid; USD 31,000 - 41,000; Full time

Benefits offered by this job

Remote/hybrid option

Job summary

Cape Cod Healthcare in Hyannis, MA is seeking a Revenue Cycle professional to ensure financial clearance within 48 hours of service. You will work with Physician Offices, Insurance Companies, and the Revenue Cycle team to recover revenues and improve processes.

The role emphasizes eligibility verification, pre-registration accuracy, and referrals management using Epic/Experian systems. A 1+ year background in Patient Access or scheduling is preferred, with a strong emphasis on teamwork and

Qualifications

• Associate degree preferred; high school diploma or GED required.
• Minimum of 1 year in a large hospital revenue cycle with emphasis on Patient Access or Scheduling.
• Experience with large hospital information systems (Epic/Siemens preferred).
• Excellent interpersonal, problem solving and critical thinking skills.
• Strong PC skills with Outlook; excellent verbal and written communication skills.
• Medical terminology knowledge preferred; experience using payer websites recommended.

Responsibilities

• Troubleshoot and evaluate work product of staff; recommend changes to management.
• Participate in strategizing for process improvement to improve cash flow.
• Attend and participate in management meetings.
• Assist management on organizational projects for CCHC.
• Provide input for employee evaluations and cross-department collaboration.
• Verify insurance eligibility and obtain authorizations to ensure payment for services.
• Maintain coordination with Practice Managers and clinical staff on payer requirements.
• Respond to practice inquiries about insurances, referrals, and authorizations.
• Meet daily productivity and quality standards; participate in training and special projects.

Skills

Interpersonal skills

Problem solving

Communication skills

Critical thinking

Education

Associate Degree

High School diploma or GED

Tools

Epic

Siemens

Job description

Cape Cod Healthcare in Hyannis, MA is seeking a Revenue Cycle professional to ensure financial clearance within 48 hours of service. You will work with Physician Offices, Insurance Companies, and the Revenue Cycle team to recover revenues and improve processes.

The role emphasizes eligibility verification, pre-registration accuracy, and referrals management using Epic/Experian systems. A 1+ year background in Patient Access or scheduling is preferred, with a strong emphasis on teamwork and