ID Billing Analyst II

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

📋 Description

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

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

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

• Familiarize yourself with the Insurance Discover platform and Hospital Patient Account Systems.

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

• Contact insurance providers to confirm active coverage, eligibility dates, and policy specifics.

• Identify and document reasons for eligibility denials, such as inactive coverage, coordination of benefits, and incorrect payer information.

• Input or amend insurance details in client systems and resubmit claims as necessary.

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

• Escalate complex or recurring issues to senior staff members.

• Draft basic payer correspondence or appeals as required.

• Ensure compliance with HIPAA regulations and internal policies.

• Maintain assigned process documentation.

• Achieve department productivity and quality standards.

⛳️ Requirements

• A minimum of 1 year of experience in healthcare, insurance verification, or a related field.

• Basic knowledge of different health insurance types (Medicare, Medicaid, Commercial).

• Willingness to understand eligibility requirements and coordination of benefits rules.

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

• Comfortable with using payer portals and EMR/billing platforms.

• Proficient in MS Office applications (Excel, Word).

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

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

• Completion of 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 tools.

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

• Ability to work both independently and as part of a team.

• Maintain HIPAA-compliant handling of patient information and adhere to HIPAA, FCRA, GLBA, and other relevant laws.

• Obtain and sustain offsite access to patient accounting systems (PAS).

• Complete all required PAS training.

🏝️ Benefits

• FinThrive states it offers perks and benefits, with up-to-date offerings available at finthrive.com/careers-benefits.

• Equal Opportunity Employer protections and reasonable accommodations for individuals with disabilities.