Skip to main content
Helping drive your future forward.
Search Jobssearch
Apply
Remote

Insurance Specialist II

Medical Billing / Coding

Job ID 24REQ-05328

Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at www.xtendhealthcare.net

***Xtend offers competitive benefits including; Medical/Dental/Vision, Generous Paid Time Off/Paid Holidays/Tuition Reimbursement/401k plan plus Employer Match/Professional Development/Employee Stock Purchase Plan***

OFFICE AND TECHNOLOGY REQUIREMENTS:

Xtend Healthcare will provide all hardware and software.  Qualified candidates must secure the following to successfully execute job responsibilities:

  • ​Reliable high-speed internet– 100mbps download, 10 upload speed minimum, and latency less than 25 ms. (Please note: Rural, Satellite Services, MIFI/Jetpacks, 5G networks, Google Pod, EERO Device and WIFI extenders are not compatible with our systems)

  • Cell phone that has the ability to download an app

  • Wired internet connection by connecting an Ethernet cord into your server from the router/modem

  • Computer equipment will be provided for Day 1 of Training

  • Private workspace or home office free from distractions

  • As a work-from-home employee, I understand that I may encounter slowdowns during periods of heavy internet use due to a variety of factors; one of which is the number of devices connected to the internet in the home and especially devices streaming Netflix, Hulu, games etc. I understand that WiFi is not compatible with company systems and that connecting device directly to the router will provide the best connection.

LOCATION: Remote/Work from Home.

  • Location Requirement:All work must be performed in the United States for this remote role.

Xtend Healthcare is looking for an Insurance Specialist IIwho will be responsible for review and resolution of outstanding insurance balances on hospital or physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client and federal guidelines.

JOB SUMMARY:

1.  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.

2.  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 request 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.

3.  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.

4.  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.

·Attend training sessions as directed by management.

·Integrate information obtained through training sessions and policy changes immediately into daily routine.

MINIMUM REQUIREMENTS:

·High school diploma (additional equivalent experience above the required minimum may substitute for the required level of education)

·1 year of accounts receivables healthcare billing experience (additional equivalent healthcare education above the required minimum may substitute for the required level of experience)

·Excellent oral and written communication skills

·Basic computer skills

·Familiar with widely used patient accounting software

PREFERRED QUALIFICATIONS:

·Hospital billing experience

·EPIC/Cerner experience

·Organization, planning and prioritizing

·Communication skills

·Data management

·Attention to detail and accuracy

·Problem-solving

Apply

Diversity & Inclusion

Navient Earns High Marks for LGBTQ+ Equality in the Workplace

Learn More arrow_forwarddiverse workers

Education

Helping Youth Turn High School Diplomas into College Degrees

Learn More arrow_forward women in cap in gown

Giving Back

Duncan Solutions Supports Boys & Girls Clubs of Metro Los Angeles’ Transportation Program

Learn More arrow_forward boy getting on bus

Sign Up For Job Alerts

Don't see what you’re looking for? Sign up and we'll notify you when roles become available.

Category

By submitting your information, you acknowledge that you have read our privacy policy (this content opens in new window) and consent to receive email communication from Navient.

Join Our Talent
Community

Register to be notified as soon as new jobs become available.

Sign Up
two workers sharing a computer

As you search for opportunities that fit your skills, any jobs you view will appear here.