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." #J-18808-Ljbffr