Billing Analyst II

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop a strong understanding of insurance requirements and assist in addressing eligibility issues impacting claims reimbursement.

• Seek out missed or secondary insurance coverages to enhance reimbursement and minimize patient financial responsibility.

• Collaborate with payers, patients, and internal teams to resolve account discrepancies and efficiently complete the billing cycle while ensuring compliance.

• Acquire knowledge of the Insurance Discover platform and Hospital Patient Account Systems.

• Manage assigned insurance eligibility accounts and address coverage, coordination of benefits, and patient information issues.

• Communicate with insurance companies to confirm active coverage, eligibility periods, and policy specifics.

• Recognize and record reasons for eligibility denials.

• Enter or amend insurance details in client systems and resubmit claims when necessary.

• Utilize status codes and follow-up indicators within the system.

• Refer complex or recurring issues to senior staff members.

• Draft basic payer correspondence or appeals as required.

• Ensure compliance with HIPAA regulations and internal policies.

• Secure and maintain offsite access to patient accounting systems.

• Complete mandatory PAS training.

• Keep process documentation up to date.

• Achieve departmental productivity and quality standards.

⛳️ Requirements

• At least 1 year of experience in healthcare, insurance verification, or a related field.

• Fundamental understanding of various health insurance types (Medicare, Medicaid, Commercial).

• Eagerness to learn about eligibility requirements and coordination of benefits rules.

• Strong attention to detail, time management, organizational, and communication skills.

• Proficiency in using payer portals and EMR/billing platforms.

• Competence with MS Office applications (Excel, Word).

• Capability to meet productivity and quality goals during the training period.

• Familiarity with billing forms (UB-04, 1500) and payer correspondence is preferred.

• Relevant coursework or certification in medical billing, healthcare administration, or insurance.

• Experience in insurance verification, patient registration, or patient access roles.

• Understanding of Medicaid eligibility processes or related tools.

• Proficiency with billing systems (e.g., Epic, Cerner, Meditech).

• Ability to work both independently and collaboratively within a team environment.

• Commitment to comply with HIPAA, FCRA, GLBA, FinThrive policies, and applicable laws.

• Required to complete mandatory PAS training and maintain offsite access to patient accounting systems.

🏝️ Benefits

• FinThrive offers a variety of perks and benefits; candidates can visit finthrive.com/careers-benefits for the latest offerings.

• We are an Equal Opportunity Employer.