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Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at www.xtendhealthcare.net
***Xtend offers competitive benefits including; Medical/Dental/Vision, Generous Paid Time Off/9 Paid Holidays/Tuition Reimbursement/401k plan plus Employer Match/Professional Development/Employee Stock Purchase Plan***
COMPETITIVE WAGES
THIS POSITION WILL BE ON-SITE IN KONA, HAWAII.
WORK SCHEDULE: Full Time hours with flexibility to work between 6:30 am to 4 pm HT
ALL WORK MUST BE PERFORMED IN THE UNITED STATES.
Xtend Healthcare is looking for an Insurance Specialist IIwho will be responsible for review and resolution of outstanding insurance balances on hospital or physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex 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.
JOB SUMMARY:
1. Effectively manages assigned insurance receivables to achieve business line expectations.
·Meets productivity standards as outlined by business line.
·Achieves a minimum of 85% work quality scoring 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 90 days of placement.
·Demonstrates the ability to prioritize work with some oversight to meet outlined goals.
2. 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 Prism system and displays clear understanding of claim updates, request workflow, and action step entry into the system.
·Appropriately makes request 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.
3. 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.
4. 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, FDCPA, Privacy Act, FCRA, etc.
·Attend training sessions as directed by management.
·Integrate information obtained through training sessions and policy changes immediately into daily routine.
MINIMUM REQUIREMENTS:
·High school diploma (additional equivalent experience above the required minimum may substitute for the required level of education)
·1 year of accounts receivables healthcare billing experience (additional equivalent healthcare education above the required minimum may substitute for the required level of experience)
·Excellent oral and written communication skills
·Basic computer skills
·Familiar with widely used patient accounting software
PREFERRED QUALIFICATIONS:
·Hospital billing experience
·EPIC experience
·Organization, planning and prioritizing
·Communication skills
·Data management
·Attention to detail and accuracy
·Problem-solving
Full Time
Business Services
$47k-51k (estimate)
04/11/2024
06/10/2024
xtendhealthcare.net
NASHVILLE, TN
500 - 1,000
1990
$10M - $50M
Business Services
As the premier company in revenue cycle management, Xtend Healthcare, A Navient Company can help you improve your financial performance and productivity for both the short term AND the long term. Serving as a seamless extension of your business office, we can literally revolutionize the way you manage your revenue cycle, so that you capture and use data more efficiently than ever before (quickly assessing the status of your outstanding claims for your most valuable payers) and eliminate wasted time and backed-up workflow. Well help you reduce A/R days, lower collection costs and bad-debt write...-off and enjoy stronger cash flow. Like no one else, we can even send a team of experienced professionals to your site to help you quickly resolve receivables backlogs or manage the transition to a new IT system or facility. Our principals started the cash acceleration field. Over the past three decades, we have helped providers of all types and sizes meet the challenges of receivables management. We have established a long track record of making good on our promises and delivering superior results for our clients. For more information visit www.xtendhealthcare.net
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The job skills required for Insurance Specialist II include Billing, Problem Solving, Written Communication, Communication Skills, Attention to Detail, Flexibility, etc. Having related job skills and expertise will give you an advantage when applying to be an Insurance Specialist II. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Insurance Specialist II. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Insurance Specialist II positions, which can be used as a reference in future career path planning. As an Insurance Specialist II, it can be promoted into senior positions as an Insurance Claim Service Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Insurance Specialist II. You can explore the career advancement for an Insurance Specialist II below and select your interested title to get hiring information.