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Clinically Led Healthcare Analytics Intelligent Technology to Improve your Financial Health
Insurance Specialist
Location
United States
Posted
9 days ago
Salary
0
Seniority
Junior
Job Description
Insurance Specialist
CorroHealth
• 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 • 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 requests 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 • 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 • 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. • Attends training sessions as directed by management • Integrate information obtained through training sessions and policy changes immediately into daily routine
Job Requirements
- 1 year of experience in a health care receivables environment
- High School Diploma
- Excellent oral and written communication skills
- basic computer skills
- familiarity with widely used patient accounting software
- Data management skills
- attention to detail and accuracy
- good problem-solving skills
- Ability to communicate successfully with patients, hospitals, insurance companies and Xtend Employees
- Able to work individually and as part of a team
- Possess ability to concentrate for long periods of time
- Proficient in numeracy skills and above average knowledge of administrative procedures.
Benefits
- Professional development
- flexible work arrangements.
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Insurance Eligibility Specialist
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Role Description The Insurance Eligibility Specialist plays a critical role in supporting both members and providers by managing insurance-related inquiries and ensuring accurate coverage information. This role operates in a high-volume environment and requires strong attention to detail, problem-solving skills, and clear communication. - Manage a high volume of inbound insurance-related tickets from members and providers - Respond to inquiries primarily via email, with some phone support as responsibilities expand - Assist providers with questions related to: - Accepted insurance plans - Client volume and capacity - Payor status and credentialing updates - Support members with inquiries including: - Insurance discrepancies and coverage issues - Adding or updating insurance information - Complex billing, technical, or investigative concerns - Troubleshoot and resolve escalated or non-routine issues with accuracy and efficiency - Maintain detailed documentation of interactions and resolutions Qualifications - 2+ years of healthcare experience - Experience working with health plans - Knowledge of billing, EOBs, deductibles, copays, coinsurance - Flexible and adaptable in a fast-changing environment - Ability to take feedback well - Comfortable with shifting priorities and evolving processes Requirements - Intermediate Level - This is a Contract position based out of Mountain View, CA. Benefits - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jun 24, 2026.
