Insurance Analyst I-Patient Financial Services

Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
• Manages new accounts daily by working within Receivables Workstation; interfaces with other hospital departments to obtain necessary information for claims processing or resolution; contacts patients or account guarantors to solicit payment.
• Works all accounts in the Follow-Up queue daily to promote collection, including telephoning payers, messaging, or identifying claims on payer websites.
• Manages account inventory promptly to facilitate payment and resolution as instructed by management.
• Stays current on payer requirements by reading bulletins, reviewing provider handbooks, and accessing relevant websites.
• Processes incoming correspondence, including signature letters, denials, prior authorizations, and additional information for claims processing.
• Records new insurance plans and facilitates account processing for new plans according to pre-billing policies.
• Records accurate notes in the electronic account file, depicting current status, issues, and anticipated resolution date.
• Escalates account management issues to leadership when necessary.
• Keeps leadership informed about contract, payer, or system changes and issues.
• Assigns status codes to accounts for tracking, data gathering, and audits.
• Manages daily credit balance accounts, preparing adjustments or refunds as needed.
• Handles special projects such as high-dollar accounts or accounts over specified thresholds.
• Attends in-house training and classes on billing regulations and compliance issues as requested.
• Maintains productivity standards by payer assignment.
• Performs other duties as assigned.
• Interprets payer contracts and federal/state regulations.
• Prioritizes tasks and manages time efficiently to meet deadlines.
• Handles multiple projects simultaneously, prioritizing workload effectively.
• Provides strong customer service and problem-solving skills.
• Possesses knowledge of medical terminology.
• Operates basic office equipment such as copiers, fax machines, and calculators.
• Familiar with database systems and internet applications.
• Has strong Windows skills and keyboarding proficiency.
• Understands computer-based claims management systems.

Eisenhower Health offers a comprehensive benefits package and a matched retirement plan.

Employees can participate in a benefits program designed to support them and their families.

This organization fosters a culture rooted in strong values, commitment, service, and professional excellence.

What Our Nurses Say

"One of my favorite aspects of working at Eisenhower Health is our inclusive culture and evidence-based practice support."

Lori

"The support from administration and continuous process improvements make Eisenhower Health a great place to work."

"I enjoy the camaraderie within my unit and across departments at Eisenhower Health."