Insurance Specialist I

2 weeks ago

Houston, United States Navient Full time

Xtend Healthcare is nationally recognized as the industry-leading provider of comprehensive revenue cycle solutions to hospitals and health systems. Sustaining healthcare revenue cycle improvement is our exclusive focus with experience in all 50 states and more than 30 years of dedicated health revenue cycle experience. We are committed to delivering solutions built around the broad revenue cycle needs of our clients.

Xtend Healthcare focuses on both clinical and financial interoperability to maximize collection of net revenue. Xtend Healthcare provides an array of solutions for our customers including full and partial revenue cycle outsourcing, third-party insurance follow-up, self-pay, coding, CDI, and consulting services.

THIS POSITION WILL BE ON-SITE IN HOUSTON, TEXAS.

Work Schedule: Monday thru Friday; 8 am to 4:30 pm CST.

Xtend Healthcare is looking for an Insurance Specialist to work onsite. The Insurance Specialist is 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.  Responsible for general office duties including but not limited to; filing, scanning, printing, data entry in support of all of all other insurance specialists. 

  • Achieve assigned goals (resolutions, account review quality, productivity standards – specified by line of business).
  • Working knowledge of hospital systems, internal systems, and Microsoft Office.
  • Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short time frame.
  • Ability to understand directive given orally and written. 
  • Ability to prioritize job responsibilities and manage time for timely completion of assignments.
  • Accurately perform tasks with a high level of attention to detail.
  • Proficiency with company telephone system while placing outbound calls and accepting inbound calls.

2.  Perform account research and route accounts through appropriate client workflows. 

  • Completes timely follow-up on assigned accounts.
  • Perform account research and document findings in detailed manner.
  • Prepares and makes appropriate requests for adjustment, billing, or appropriate review according to workflow or job aid directive.
  • Communicate effectively with insurance companies for payment.
  • Understanding of next steps needed to reach resolution of insurance balance.
  • 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)
  • 6 months of experience in a related field (additional equivalent education above the required minimum may substitute for the required level of experience)
  • Excellent oral and written communication skills
  • Ability to accurately type 38 words per minute plus
  • Flexibility with handling job responsibilities and requests
  • Familiar with widely used patient accounting software

PREFERRED QUALIFICATIONS:

  • Organization, planning and prioritizing
  • Communication skills
  • Data management
  • Attention to detail and accuracy
  • Problem-solving
  • Adaptability and flexibility
  • Possess excellent reading and writing skills
  • Strong Computer skills
  • Ability to communicate successfully with patients, hospital or Xtend Employees
  • Is able to work individually and as part of a team
  • Possess ability to concentrate for long periods of time
  • Proficient in numeracy skills
  • Pays close attention to detail

All 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.

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