Remote Hospital Insurance Collector

Who We Are

Xtensys, a recently established managed service provider, delivers cutting-edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We are seeking an experienced Remote Hospital Insurance Collector to join our team of 500 and support our exciting journey. We value people and we're building a culture to match. If you are a collaborative, innovative, and strategic leader, we'd love to talk.

Job Summary

Reporting to the Revenue Cycle Supervisor and Manager, the Remote Hospital Insurance Collector plays a crucial role in managing and following up on insurance claims from various payers. This person will assist the team in resolving patient accounts to get claims paid properly and quickly by working with the insurance company, thus reducing the outstanding accounts receivable for Xtensys.

A successful Insurance Collector will have strong computer skills, be comfortable with medical terminology, are organized and thrive in a highly structured environment. Members of the Revenue Cycle team work independently but are flexible and collaborative to ensure that the department's goals are met.

You'll be responsible for all insurance follow up from various third-party payers. This position will assist the team in resolving patient accounts to get claims paid properly and quickly by working with the insurance company, thus reducing the outstanding accounts receivable for Xtensys.

Key Responsibilities

Insurance Collection

• Daily follow up on unpaid claims, including but not limited to, rejected claims, incorrect billings, unpaid and improperly paid claims, and denied claims
• Works all assigned accounts at least once every 15 to 30 days, depending on the balance and/or supervisor directive by contacting the thirdparty payors via website, telephone or mail for claim/payment status from assigned ATB
• Research, identify and rectify any special circumstances affecting the resolution of the account
• Ability to identify trends within claim denials to quickly resolve multiple claim issues
• Update patient accounts in system with any action taken, additional information attained and next steps to claim resolution with clear and concise documentation
• Adhere to all established company policies and procedures
• Meets established quality and productivity goals set by management
• Remain current on all Federal and State regulations and statutes that govern or influence insurance collections

Billing and Documentation:

• Maintain detailed, accurate, and uptodate records of all interactions in the patient accounting financial system.
• Ensure compliance with health system policies, federal regulations, and patient privacy standards (HIPAA).

Collaboration:

• Collaborate with other departments such as Billing, Denials and Patient Access teams to resolve complex cases.
• Work closely with the Patient Access team to ensure correct patient information and resolve outstanding claims.

Compliance and Training:

• Stay informed about changes in healthcare billing regulations, insurance policies, and financial assistance programs.
• Participate in ongoing training to ensure consistent and uptodate knowledge of billing practices and financial assistance programs.

Skills and Experience

• Strong organizational skills and attention to detail.
• High level of accountability and adherence to performance metrics.
• Strong communication skills, both written and verbal, with the ability to interact with diverse populations in a professional and empathetic manner.
• Ability to manage multiple tasks and priorities in a fastpaced environment.
• Proficient in using billing and customer service software and healthcare management systems.
• Knowledge of medical billing, insurance, and payment processes.
• Ability to remain calm and professional under pressure.
• Understanding of HIPAA regulations and patient confidentiality.
• Strong problemsolving and negotiation skills.
• Ability to handle difficult conversations with patience and empathy.
• Perform other jobspecific duties as assigned.

Education/Certifications

• High School Diploma or GED required; Associate degree or billing/coding certification preferred.
• Associate's Degree with 5 years of billing experience in an acute healthcare environment; or High School Diploma with 7 years of billing experience in an acute healthcare environment.
• Epic Experience is preferred but not mandatory.

Travel Requirements

• None

Physical Requirements

• Ability to sit or stand for extended periods and perform repetitive hand and finger motions.

Why Join Us

• You can help shape the future of healthcare managed services delivery.
• You can work alongside dynamic leaders and a passionate, missiondriven team.
• You can take ownership of building scalable project management practices from the ground up.
• You're able to enjoy a flexible, highimpact role with major opportunities for growth.
• You'll receive a competitive salary, bonus plan, benefits, and career development pathways.

LI-Remote
About Xtensys Connected Health Solutions

We are new but mighty. Xtensys, a recently established managed service provider, delivers cutting-edge technology to health systems, starting in NY and expanding beyond. Owned by two industry leaders focused on innovation in rural and community health, we are rapidly growing with several major initiatives underway. We seek talented professionals to join our team of 500 and support our exciting journey. We value people and are building a culture to match. If you're a collaborative, innovative, and strategic leader, we'd love to talk.

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