Job Summary:
The Insurance Analyst is responsible for reviewing accounts, following up on payments, and managing collections processes to ensure timely resolution of outstanding balances.
This role requires attention to detail, compliance with established policies, and the ability to interact effectively with patients, account guarantors, and insurance payers.
The ideal candidate will support the organization by maintaining up-to-date knowledge of payer requirements and promoting prompt payment and resolution of accounts.
Key Responsibilities:

• Conduct account reviews, follow-ups, and collections, addressing issues such as double recoupment, correspondence, and credit balance resolution.
• Ensure compliance with the Code of Conduct and organizational policies, reporting any suspected violations or concerns.
• Manage new accounts daily within the Receivables Workstation and coordinate with other hospital departments as needed.
• Contact patients and account guarantors to discuss and solicit payment of outstanding balances.
• Work accounts in the Follow-Up queue daily, leveraging telephone, messaging systems, or payer websites to facilitate collection efforts.
• Handle account inventory efficiently, ensuring timely resolution and adherence to management directives.
• Stay informed about payer requirements by reviewing bulletins, handbooks, and online resources.

Required Qualifications:

• Proven experience in account management, collections, or insurance follow-up in a healthcare setting.
• Strong communication and problem-solving skills.
• Proficiency in using Receivables Workstation or similar account management tools.

Preferred Qualifications:

• Familiarity with payer guidelines and requirements.
• Ability to manage high volumes of accounts while maintaining accuracy.
• Knowledge of healthcare compliance policies and procedures.