Insurance Analyst - Patient Financial Services

* Share Job:* Email * Facebook * Linkedinchevron_left Back To ResultsLocated in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California. * Job Objective: A brief overview of the position. * Performs account review, follow-up and collections to include double recoupment, correspondence and credit balance resolution. * Reports to * Director of Patient Financial Services and/or Clinic Billing * Supervises* N/A* Ages of Patients* N/A* Blood Borne Pathogens * Minimal/ No Potential * Qualifications * Education*

Required: High school diploma, GED or higher level degree * Licensure/Certification*

N/A* Experience

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* Required: One (1) year of billing/collections experience, billing certification or prior successful internship/temporary assignment in a patient financial service setting*

* Preferred: Experience with managed care and Medicare/Medi-Cal Billing regulations * Essential Responsibilities * Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations. * Manages new accounts, on a daily basis, by working within Receivables Workstation. Interfaces with other departments within the hospital, when appropriate, to obtain information necessary to process or resolve claims. Contacts patient and/or account guarantor to solicit payment on account. * Works all accounts listed in the Follow-Up queue, on a daily basis to promote collection of accounts. This will include telephoning the payer, messaging or identifying the claim on the payers' Internet websites. * Manages account inventory on a timely basis to promote payment and resolution of all accounts as instructed by management. * Stays current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc. * Processes incoming correspondence, including signature letters, denials, prior authorizations and additional information necessary to process the claim. * Records newly identified insurance plans and facilitates the account processing of new plan in accordance with pre-billing policies and procedures. * Records accurate and definitive notes in the electronic account file that depict the current status of account, issues with account and anticipated date of resolution. * Escalates account management to Supervisor when issues arise, if needed. * Ensures PFS management is kept up to date with contract, payer or system changes and/or issues. * Assigns a status code to each worked account to enable account tracking, statistical data gathering and audit activities. * Manages new credit balance accounts every day and prepares adjustments or refunds to zero the account balance. * Handles special projects as directed by management e.g. high dollar accounts, accounts over 180 days old, etc. * Attends, in-house training and attends classes pertaining to Federal and State billing regulations as well as Compliance Issues and Guidelines as requested. * Maintains productivity standards by payer assignment. * Performs other job related tasks as assigned.Apply Now * Share Job: * Email * Facebook * LinkedinEisenhower Health offers a generous benefits package and a matched retirement plan.Employees are eligible to participate in a benefits program designed to make a difference for you and your family.View Full BenefitsA Culture of Positivity and SupportFrom the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence.What Our Nurses SayOne of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice.LoriNeonatal NurseOne of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work.RichardNursing SupervisorMy favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.JenniferRegistered NurseBe a Part of an Award-Winning Team