Insurance Specialist

Job Description

Insurance Specialist | Xtend Healthcare

The Tone:
This is a critical full-time position at Xtend Healthcare. The company provides scalable solutions and clinical expertise across the reimbursement cycle to help clients exceed their financial health goals. They are dedicated to building long-term careers by investing in team members’ professional development and personal growth. The Insurance Specialist is essential for the review and resolution of outstanding insurance balances on patient accounts, directly contributing to cash recovery and ensuring adherence to company, client, and federal guidelines.

The TL;DR
• Role: Insurance Specialist
• Mission: This role ensures the resolution of outstanding insurance balances on hospital or physician patient accounts, driving cash recovery and adherence to guidelines.
• Tech Stack: Prism system, client host systems, patient accounting systems, billing system

What You’ll Actually Do
• Manage: Effectively manage assigned insurance receivables to achieve business line expectations and cash recovery goals.
• Maintain: Achieve productivity standards and maintain a minimum of 85% work quality scoring and accuracy on all accounts worked.
• Follow-Up: Complete timely follow-up on assigned accounts to ensure resolution within 90 days of placement and prevent cash loss.
• Research: Perform account research, navigate client host systems, and route accounts through appropriate client workflows, including basic claim billing functions.
• Document: Clearly prepare appeals for payment to insurance companies when appropriate and maintain clear, concise, and accurate documentation in patient accounting systems.

The Must-Haves
• Background: Entry-Level. High School Diploma with core domain knowledge in a health care receivables environment.
• Experience: 1 year of experience in a health care receivables environment.
• Skills: Basic computer proficiency, familiarity with patient accounting software, data management skills, proficiency in numeracy skills, above average knowledge of administrative procedures.