Insurance Specialist – EPIC, HB Experience Required

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

📋 Description

• Assess and resolve pending insurance balances on Hospital Billing (HB) patient accounts.

• Utilize Epic, hospital systems, and analytical abilities to determine subsequent actions for aged account receivables.

• Ensure that cash recovery objectives are met and that assigned hospital receivables are managed in compliance with company, client, and federal regulations.

• Oversee assigned insurance receivables to fulfill business line expectations.

• Achieve productivity, quality, accuracy, monthly cash targets, and service-level requirements.

• Conduct account research and navigate accounts through the appropriate client workflows.

• Utilize client host systems and patient accounting systems to investigate accounts.

• Record actions taken and outline next steps for account resolution.

• Employ Epic and Prism for claim updates, workflow requests, and action-step entries.

• Request documentation in accordance with account requirements and compliance standards.

• Execute basic claim billing functions.

• Prepare payment appeals to insurance companies when necessary.

• Clearly communicate complex account information.

• Manage accounts in alignment with client standards, federal laws, state regulations, departmental requirements, and compliance policies.

• Maintain precise records of account attempts and contacts.

• Participate in training and promptly apply training and policy updates to daily tasks.

⛳️ Requirements

• A minimum of 4 years of experience in a healthcare receivables environment, primarily in Hospital Billing (HB).

• At least 4 years of experience with Epic.

• High School Diploma required.

• Exceptional oral and written communication skills.

• Basic computer proficiency.

• Familiarity with commonly used patient accounting software.

• Data management capabilities, with a focus on detail and accuracy.

• Strong problem-solving abilities.

• Capable of effectively communicating with patients, hospitals, insurance providers, and Xtend Employees.

• Ability to work independently as well as collaboratively within a team.

• Capacity to maintain focus for extended periods.

• Proficiency in numerical skills and a solid understanding of administrative procedures.

• Ability to perform duties at a computer terminal for 6-8 hours daily.

• Ability to occasionally lift and move materials weighing up to 20 lbs.

• Compliance with federal and state regulations governing phone calls and collections, including HIPAA, Privacy Act, FCRA, etc.

🏝️ Benefits

• Investment in professional development and personal growth.

• Opportunities for continuing education and career advancement within the industry.

• Training sessions provided as directed by management.