Job Summary
This position is 100% remote and requires the candidate to reside in the United States. The Insurance Specialist is responsible for reviewing and resolving outstanding insurance balances on hospital-based patient accounts. The role requires extensive Epic experience, strong analytical skills, and the ability to evaluate next steps to resolve aged accounts receivable and support cash recovery goals in accordance with company, client, and federal guidelines.
Key Responsibilities
- Manage assigned insurance receivables to meet business expectations
- Complete timely follow-up on accounts to prevent cash loss
- Ensure accounts are resolved within defined SLA timelines
- Research accounts and route them through appropriate client workflows
- Navigate patient accounting and host systems to perform research and updates
- Document actions taken and next steps clearly in system notes
- Prepare insurance appeals when appropriate
- Perform basic claim billing functions as needed
- Communicate complex account information clearly and professionally
- Work in compliance with federal, state, client, and company policies
Requirements & Qualifications
Requirements
- 4+ years of experience in a healthcare receivables environment, primarily hospital-based accounts
- 4+ years of Epic experience
- High school diploma
- Strong oral and written communication skills
- Basic computer skills and familiarity with patient accounting software
- Data management skills with strong attention to detail and accuracy
- Good problem-solving and numeracy skills
- Ability to work independently and collaboratively
- Ability to maintain focus for extended periods of time
- Knowledge of HIPAA, Privacy Act, FCRA, and other applicable regulations
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago