Insurance Specialist – EPIC, HB Experience Required

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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👻 Ghost score 10%

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Review and resolve outstanding insurance balances on Hospital Billing (HB) patient accounts • Use Epic, hospital systems, and analytical skills to evaluate next steps for aged account receivables • Ensure cash recovery goals are met and assigned hospital receivables are addressed according to company, client, and federal guidelines • Manage assigned insurance receivables to achieve business line expectations • Meet productivity, quality, accuracy, monthly cash, and service-level expectations • Perform account research and route accounts through appropriate client workflows • Navigate client host systems and patient accounting systems to research accounts • Document actions taken and next steps for account resolution • Use Epic and Prism for claim updates, request workflows, and action-step entry • Request documentation based on account needs and compliance guidelines • Perform basic claim billing functions • Prepare appeals for payment to insurance companies when appropriate • Communicate intricate account information clearly • Work accounts within client standards, federal regulations, state regulations, department/division requirements, and compliance policies • Maintain accurate documentation of account attempts and contacts • Attend training and immediately integrate training and policy changes into daily work

🎯 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 • Ability to work individually and as part of a team • Ability to concentrate for long periods of time • Proficient in numeracy skills and above average knowledge of administrative procedures • Ability to perform work at a computer terminal for 6-8 hours a day • Ability to lift and move material weighing up to 20 lbs. infrequently • Compliance with federal and state rules and regulations governing phone calls and collections, including HIPAA, Privacy Act, FCRA, etc.

🏖️ Benefits

• Professional development and personal growth investment • Continuing education and industry career development • Training sessions as directed by management