About this role
Job title: Insurance Analyst II
About the Role The Insurance Analyst II supports Patient Financial Services by performing account review, follow-up and collections, including addressing aged and outstanding issues. This role helps set and maintain department goals, guides and trains staff as needed, and ensures compliance with policies and payer requirements.
What You'll Do
- Demonstrates compliance with Code of Conduct and compliance policies, and reports suspected violations.
- Manages new accounts daily in Receivables Workstation and interfaces with other hospital departments to obtain information necessary to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on the account.
- Works all accounts listed in the Follow-Up queue daily to promote collection of accounts.
- Assist leadership with setting and maintaining goals within the department, including redirecting assignments and targeting aged and outstanding issues.
What We're Looking For
- Education: Required: High school diploma, GED or higher level degree.
- Experience: Required: Three (3) years of experience in medical billing or collections. Preferred: Experience with managed care and Medicare/Medi-Cal Billing regulations.
- Licensure/Certification: N/A
- Skills & Abilities: Ability to handle multiple projects/tasks and prioritize workload; interpret payer contracts and reimbursement practices by payer and state regulations; operate basic office equipment; support and train staff on insurance billing, collections policies/processes, and system processes; basic knowledge of ICD-10, CPT and HCPC coding; effective communication, organizational and problem-solving skills; excellent time management; knowledge of computer-based claims management and internet applications; knowledge of managed care, Medicare/Medi-Cal Billing regulations; knowledge of third-party payer rules and regulations; knowledge of the Federal Fair Debt Collection Practices Act; strong customer service and problem solving skills; strong financial, mathematical and analytical skills; strong knowledge of contract reimbursement methodology and proration; strong knowledge of medical terminology; strong knowledge of Microsoft Office, voicemail and Epic; strong knowledge of payer contracts, interpretation, policies and procedures; strong Windows knowledge and keyboarding skills.
Nice to Have
- Experience with managed care and Medicare/Medi-Cal Billing regulations (preferred).
Compensation & Benefits Salary range: $20.71 - $31.46 per hour. Hours: 40 per week. Full-time role in Patient Financial Services.