Remote Insurance Hospital Collector & Denials

About Us

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 a skilled Insurance Hospital Collector to join our team of 500 and support our exciting journey. We value people and we are building a culture to match. If you're a collaborative, innovative, and strategic leader, we?d love to talk.

Location: Remote

Travel: 0%

Job Summary

Reporting to the Revenue Cycle Supervisor and Manager, the Insurance Collector plays a crucial role in managing and following up on insurance claims from various payers including working through denials. The Insurance Collector 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. While we are transitioning to a new EMR in the future, we are looking for a member with experience in our legacy system Soarian Financials, SSI Clearinghouse. Experience in the following payers: Medicare, Medicare HMOs, Medicaid, Medicaid HMOs and commercials is preferred. This position requires experience of working in hospital accounts follow up. Epic experience is a bonus! This role will transition to a Denial Team member working solely denials in Epic.

Duties & Responsibilities
? Maintain and manage legacy system work queues, including FollowUp and Denial work queues, ensuring timely and effective handling of all items within these queues to support efficient claims processing and account resolution. Once transitioning to Epic, may still continue with legacy system clean up.
? Reviews any correspondence in WQs including rejections on a timely basis.
? Interacts and work closely with other departments of the Medical Centers.
? Maintains a working knowledge of all billing functions, procedures and regulations.
? Research problems relating to patient accounts, including working with other departments concerning billing issues.
? Engage with patients and payers via phone to address and resolve issues related to accounts, ensuring effective communication to facilitate prompt resolution.
? Identifying problematics trends and communicating with department leaders.
? Meets established quality and productivity goals as defined by the department.
? Is responsible for attending all mandatory education programs as required.
? Maintains confidentiality and adheres to all HIPAA guidelines and regulations.
? It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties which may be assigned.

Skills & Qualifications
? Soarian Financials experience
? SSI Clearinghouse
? 12 years of hospital billing and insurance collections in a healthcare environment. Epic experience a plus.

Education
? High School Diploma or GED required. Associate?s degree or Coding Certification preferred

Physical Requirements
? Lifting up to 20 pounds, standing or sitting for extended periods of time.

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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