Eisenhower Medical Center
Insurance Analyst I-Clinic Billing Services
Eisenhower Medical Center, Rancho Mirage, California, United States, 92271
Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
Performs account review, follow-up, and collections, including double recoupment, correspondence, and credit balance resolution.
Job Description:
Responsible for managing billing and collections processes, ensuring accurate account review and follow-up with payers and patients. Education:
Required: High school diploma, GED or higher Licensure/Certification:
N/A Experience:
Required: One (1) year of billing/collections experience, billing certification, or prior successful internship/temporary assignment in a patient financial services setting. Preferred: Experience with managed care and Medicare/Medi-Cal billing regulations. Ensure compliance with Code of Conduct and policies, reporting any violations. Manage new accounts daily, working within Receivables Workstation and coordinating with other departments to process or resolve claims. Contact patients and guarantors to solicit payments and promote account resolution. Follow up on all accounts in the queue daily, including contacting payers and reviewing online claim statuses. Manage account inventory timely to facilitate payment and resolution. Stay current on payer requirements by reviewing bulletins, handbooks, and websites. Process incoming correspondence, including denials, prior authorizations, and additional information requests. Record new insurance plans and process new accounts according to policies. Maintain accurate notes in electronic files regarding account status and issues. Escalate issues to leadership as needed and keep them informed of changes or problems. Assign and track status codes for accounts to assist with reporting and audits. Manage credit balances daily, preparing adjustments or refunds as needed. Handle special projects such as high-dollar accounts as directed. Attend training on billing regulations, compliance, and related topics. Maintain productivity standards per payer assignments. Perform other duties as assigned. Interpret payer contracts, federal, and state regulations. Prioritize tasks efficiently to meet deadlines and manage multiple projects. Provide excellent customer service and problem-solving skills. Possess knowledge of medical terminology and basic office equipment. Operate database systems and internet applications competently. Strong Windows skills and keyboarding proficiency. Knowledge of claims management software. Benefits:
Eisenhower Health offers a comprehensive benefits package and a matched retirement plan. Employees can participate in programs designed to support their well-being and professional growth. Work Culture:
Our organization is built on strong values, commitment, and a passion for service and excellence. We foster an inclusive environment that supports evidence-based practice. Testimonial from Our Nurses:
Lori: "One of my favorite things about working at Eisenhower Health is the culture of inclusivity and strong support for evidence-based practice." Another Nurse: "The support from administration and continuous process improvements make this a fantastic workplace." Another Nurse: "The camaraderie within my unit and across departments is what I love most about working here." #J-18808-Ljbffr
Responsible for managing billing and collections processes, ensuring accurate account review and follow-up with payers and patients. Education:
Required: High school diploma, GED or higher Licensure/Certification:
N/A Experience:
Required: One (1) year of billing/collections experience, billing certification, or prior successful internship/temporary assignment in a patient financial services setting. Preferred: Experience with managed care and Medicare/Medi-Cal billing regulations. Ensure compliance with Code of Conduct and policies, reporting any violations. Manage new accounts daily, working within Receivables Workstation and coordinating with other departments to process or resolve claims. Contact patients and guarantors to solicit payments and promote account resolution. Follow up on all accounts in the queue daily, including contacting payers and reviewing online claim statuses. Manage account inventory timely to facilitate payment and resolution. Stay current on payer requirements by reviewing bulletins, handbooks, and websites. Process incoming correspondence, including denials, prior authorizations, and additional information requests. Record new insurance plans and process new accounts according to policies. Maintain accurate notes in electronic files regarding account status and issues. Escalate issues to leadership as needed and keep them informed of changes or problems. Assign and track status codes for accounts to assist with reporting and audits. Manage credit balances daily, preparing adjustments or refunds as needed. Handle special projects such as high-dollar accounts as directed. Attend training on billing regulations, compliance, and related topics. Maintain productivity standards per payer assignments. Perform other duties as assigned. Interpret payer contracts, federal, and state regulations. Prioritize tasks efficiently to meet deadlines and manage multiple projects. Provide excellent customer service and problem-solving skills. Possess knowledge of medical terminology and basic office equipment. Operate database systems and internet applications competently. Strong Windows skills and keyboarding proficiency. Knowledge of claims management software. Benefits:
Eisenhower Health offers a comprehensive benefits package and a matched retirement plan. Employees can participate in programs designed to support their well-being and professional growth. Work Culture:
Our organization is built on strong values, commitment, and a passion for service and excellence. We foster an inclusive environment that supports evidence-based practice. Testimonial from Our Nurses:
Lori: "One of my favorite things about working at Eisenhower Health is the culture of inclusivity and strong support for evidence-based practice." Another Nurse: "The support from administration and continuous process improvements make this a fantastic workplace." Another Nurse: "The camaraderie within my unit and across departments is what I love most about working here." #J-18808-Ljbffr