Medical Billing Specialist I

2 weeks ago

Liberal, United States Navient Full time

Comprehensive Benefits: Xtend offers competitive benefits including Medical/Dental/Vision, Generous Paid Time Off/Paid Holidays, Tuition Reimbursement, 401k plan with Employer Match, and Professional Development opportunities.

About Xtend Healthcare: As a subsidiary of Navient, Xtend Healthcare is recognized nationally as a premier provider of extensive revenue cycle solutions tailored for hospitals and health systems. Our commitment lies in enhancing healthcare revenue cycle performance, drawing from over 30 years of specialized experience across all 50 states.

Core Focus: Xtend Healthcare emphasizes both clinical and financial interoperability to optimize revenue collection. Our diverse range of services includes full and partial revenue cycle outsourcing, third-party insurance follow-up, self-pay management, coding, Clinical Documentation Improvement (CDI), and consulting services.

Position Overview: We are seeking an Insurance Specialist to join our team. This role is pivotal in reviewing and resolving outstanding insurance balances associated with hospital or physician patient accounts. The ideal candidate will demonstrate adaptability in learning complex hospital systems and possess strong analytical skills to determine the best course of action for resolving aged account receivables.

Key Responsibilities:

  1. Perform general office tasks such as filing, scanning, printing, and data entry to support fellow insurance specialists.
  2. Meet assigned objectives related to resolutions, account review quality, and productivity standards.
  3. Develop a working knowledge of hospital systems, internal processes, and Microsoft Office applications.
  4. Quickly learn new systems and develop proficient operational skills.
  5. Understand and follow both oral and written directives.
  6. Prioritize responsibilities effectively to ensure timely completion of tasks.
  7. Execute tasks with meticulous attention to detail.
  8. Utilize the company telephone system efficiently for both outbound and inbound communications.

Account Management:

  1. Conduct thorough research on accounts and navigate them through the appropriate client workflows.
  2. Ensure timely follow-up on assigned accounts.
  3. Document findings in detail and prepare requests for adjustments or reviews as necessary.
  4. Communicate effectively with insurance providers to facilitate payments.
  5. Understand the necessary steps to resolve insurance balances.
  6. Maintain strong communication skills to relay complex account information.

Compliance and Quality Assurance:

  1. Ensure all accounts are managed in accordance with client standards and federal regulations.
  2. Maintain high-quality account handling practices.
  3. Adhere to federal and state regulations, as well as company compliance policies.
  4. Document all interactions and attempts made for accounts accurately.

Professional Development:

  1. Stay informed about federal and state regulations governing collections and phone communications, including HIPAA and FDCPA.
  2. Participate in training sessions as directed by management.
  3. Incorporate new information from training into daily operations promptly.

Qualifications:

  1. High school diploma or equivalent (additional experience may substitute for education).
  2. Minimum of 6 months experience in a related field (additional education may substitute for experience).
  3. Strong oral and written communication skills.
  4. Ability to type at least 38 words per minute.
  5. Flexibility in handling job responsibilities.
  6. Familiarity with commonly used patient accounting software.

Preferred Skills:

  1. Strong organizational and planning abilities.
  2. Effective communication skills.
  3. Data management proficiency.
  4. Attention to detail and accuracy.
  5. Problem-solving capabilities.
  6. Adaptability and flexibility in work.
  7. Excellent reading and writing skills.
  8. Strong computer skills.
  9. Ability to communicate effectively with patients and colleagues.
  10. Capacity to work independently and collaboratively.
  11. Ability to maintain focus for extended periods.
  12. Proficient numeracy skills.
  13. Meticulous attention to detail.

Note: All employment offers are contingent upon standard background checks. Navient and its affiliates are equal opportunity employers.

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