Insurance Analyst Lead

Overview

The Insurance Analyst Lead is responsible for insurance follow up activities and work queue maintenance appointment scheduling patient billing calls and insurance medical records request / chart reviews. Working under direct supervision this position also is responsible for finding Explanation of Benefits for any claim 31-60 days or older.

Strongly preferred : Experience in EPIC medical billing and claims review coordination of benefits and varied aspects of the revenue cycle process.

Responsibilities

Identifies and resolves any claims processing issues such as appeals medical record requests coordination of benefits questionnaires and pre-existing condition questionnaires.

Handles follow up on denied claims and resolves claim issues timely to keep accounts out of the 60 days aging category.

Posts insurance payments including checks and Electronic Remittance Advice (ERA).

Responds to patient account inquiries; counsels patients financially regarding outstanding charges and effectively resolves problems with excellent customer service skills and etiquette.

Serves as the liaison between payment posters and Revenue Cycle Management (RCM) on all aspects of revenue cycle.

Performs other duties as assigned.

Qualifications

EDUCATION :

Required : High School Diploma or equivalent

EXPERIENCE : Required : 1 year

LICENSURE / CERTIFICATION / REGISTRY / LISTING :

Required Experience :

IC

Key Skills

Sales Experience,Time Management,Marketing,Customer Service,Communication skills,Retail Sales,Business Management,Outside Sales,Telemarketing,Insurance Sales,Medicare,Phone Etiquette

Employment Type : Full-Time

Experience : years

Vacancy : 1