Insurance Specialist II
Company: Navient
Location: Honolulu
Posted on: April 25, 2024
|
|
Job Description:
Xtend Healthcare -is a revenue cycle management company focused
exclusively on the healthcare industry. The company's services
range from full revenue cycle outsourcing, A/R legacy cleanup and
extended business office to coding and consulting engagements. As
part of -Navient -(Nasdaq: NAVI), Xtend taps the strength and scale
of a large-scale business processing solutions company. Learn more
at -***Xtend offers competitive benefits including;
Medical/Dental/Vision, Generous Paid Time Off/9 Paid
Holidays/Tuition Reimbursement/401k plan plus Employer
Match/Professional Development/Employee Stock Purchase Plan***
COMPETITIVE WAGESTHIS POSITION WILL BE ON-SITE IN KONA, HAWAII.WORK
SCHEDULE: Full Time hours with flexibility to work between 6:30 am
to 4 pm HTALL WORK MUST BE PERFORMED IN THE UNITED STATES.Xtend
Healthcare is looking for an Insurance Specialist II who will be
responsible for review and resolution of outstanding insurance
balances on hospital or physician patient accounts. The Insurance
Specialist will be required to have flexibility to learning and
comprehending complex hospital systems and keen analytical skills
to evaluate appropriate next steps to bring aged account
receivables to resolution. The Insurance Specialist will be
responsible to ensure cash recovery goals are met and assigned
hospital receivables are appropriately addressed according to
company, client and federal guidelines.JOB SUMMARY:1. - Effectively
manages assigned insurance receivables to achieve business line
expectations. - - - - - - - - - Meets productivity standards as
outlined by business line. - - - - - - - - - Achieves a minimum of
85% work quality scoring and accuracy on all accounts worked. - - -
- - - - - - Completes timely follow-up on assigned accounts to
ensure no cash loss. - - - - - - - - - Meets monthly cash
expectations as set out for assigned client receivables. - - - - -
- - - - Ensures insurance accounts are resolved within 90 days of
placement. - - - - - - - - - - - - Demonstrates the ability to
prioritize work with some oversight to meet outlined goals.2. -
Perform account research and route accounts through appropriate
client workflows. - - - - - - - - - Ability to understand, navigate
and perform research of account within client host systems. - - - -
- - - - - Exceptional understanding of patient accounting systems
allowing for ease of transition and learning of new systems as
needed by business line. - - - - - - - - - Clearly documents
actions taken and next steps for account resolution in patient
accounting system. - - - - - - - - - Excellent working knowledge of
Prism system and displays clear understanding of claim updates,
request workflow, and action step entry into the system. - - - - -
- - - - Appropriately makes request for documentation based on
account needs and compliance guidelines. - - - - - - - - - Ability
to navigate billing system to perform basic claim billing
functions. - - - - - - - - - Clearly prepares appeals for payment
to insurance company when appropriate. - - - - - - - - - Ensure
strong communication skills to convey intricate account
information.3. - Ensure all accounts are worked within client
standards and Federal Regulations. - - - - - - - - - - Maintain
high quality account handling per client standards. - - - - - - - -
- Work within federal, state regulations, department/division & all
Compliance Policies. - - - - - - - - - - - - - - - - Maintain
clear, concise and accurate documentation of all attempts and/or
contacts made and received for accounts in accordance with company
and client specifications.4. - Maintain continuing education,
training in industry career development. - - - - - - - - - Maintain
current knowledge of and comply with all federal and state rules
and regulations governing phone calls and collections including
HIPAA, FDCPA, Privacy Act, FCRA, etc. - - - - - - - - - Attend
training sessions as directed by management. - - - - - - - - -
Integrate information obtained through training sessions and policy
changes immediately into daily routine.MINIMUM REQUIREMENTS: - - -
- - - - - - High school diploma (additional equivalent experience
above the required minimum may substitute for the required level of
education) - - - - - - - - - 1 year of accounts receivables
healthcare billing experience (additional equivalent healthcare
education above the required minimum may substitute for the
required level of experience) - - - - - - - - - Excellent oral and
written communication skills - - - - - - - - - Basic computer
skills - - - - - - - - - Familiar with widely used patient
accounting softwarePREFERRED QUALIFICATIONS: - - - - - - - - -
Hospital billing experience - - - - - - - - - EPIC experience - - -
- - - - - - Organization, planning and prioritizing - - - - - - - -
- Communication skills - - - - - - - - - Data management - - - - -
- - - - Attention to detail and accuracy - - - - - - - - -
Problem-solvingAll offers of employment are contingent on standard
background checks. Navient and certain of its affiliated companies
are federal, state and/or local government contractors. Should this
position support a Federal Government contract, now or in the
future, the successful candidate will be subject to a background
check conducted by the U.S. Government to determine eligibility and
suitability for federal contract employment for public trust or
sensitive positions. Positions that support state and/or local
contracts also may require additional background checks to
determine eligibility and suitability.EOE
Race/Ethnicity/Sex/Disability/Protected Vet/Sexual
Orientation/Gender Identity. Navient Corporation and its
subsidiaries are not sponsored by or agencies of the United States
of America.Navient is a drug free workplace.
Keywords: Navient, Honolulu , Insurance Specialist II, Other , Honolulu, Hawaii
Click
here to apply!
|