Insurance Sr. Specialist/Full Time/Remote
1 week ago
The CBO Insurance Sr. Specialist is responsible for effectively and efficiently resolving complex accounts, acting as a subject matter resource for his/her functional area, coaching team members on account resolution workflows, and assisting the supervisor with team management. The Sr. Specialist confirms the accuracy and completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently to resolve complex diagnostic accounts. The Sr. Specialist helps drive change by identifying areas where performance improvement is needed (for example, day-to-day workflow, education, process improvements, patient satisfaction). The Sr. Specialist performs quality validations of information as well as continuous education and opportunity feedback to a multi-disciplinary team with the objective of managing the cost of care and providing timely and accurate information to payers.
EDUCATION AND EXPERIENCE:
- High school diploma or equivalent required.
- 5+ years experience in revenue cycle/CBO required.
- Extensive revenue cycle process improvement experience required.
- Prior experience in a healthcare revenue cycle position required.
- Billing/coding certificate preferred.
- College course work in accounting, business or healthcare administration, preferred.
- Intermediate knowledge of Microsoft suite products preferred.
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
OverviewHenry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at
BenefitsThe health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action EmployerEqual Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
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