Insurance Analyst Lead en Cone Health

Overview

 

The Insurance Analyst Lead is responsible for insurance follow up activities and work queue maintenance, appointment scheduling, patient billing calls, and insurance medical records request / chart reviews. Working under direct supervision, this position also is responsible for finding Explanation of Benefits for any claim 31-60 days or older.

 

Strongly preferred: Experience in EPIC, medical billing and claims review, coordination of benefits, and varied aspects of the revenue cycle process.

 

Responsibilities

 

 Identifies and resolves any claims processing issues such as appeals, medical record requests, coordination of benefits questionnaires and pre-existing condition questionnaires. Handles follow up on denied claims and resolves claim issues timely to keep accounts out of the 60+ days aging category. Posts insurance payments including checks and Electronic Remittance Advice (ERA). Responds to patient account inquiries; counsels patients financially regarding outstanding charges and effectively resolves problems with excellent customer service skills and etiquette.Serves as the liaison between payment posters and Revenue Cycle Management (RCM) on all aspects of revenue cycle.Performs other duties as assigned.

Qualifications

 

EDUCATION:Required: High School Diploma or equivalent

 

EXPERIENCE:Required: 1 year

 

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