INSURANCE SPECIALIST - REVENUE CYCLE

<p>As an Insurance Specialist in Revenue Cycle, you'll play a vital role in ensuring the financial integrity of patient accounts from pre-admission through discharge. Working under general supervision, you'll identify and verify the accuracy and completeness of financial, insurance, and demographic information for patients receiving care at HFHS, serving as the gatekeeper for account security. Your day-to-day responsibilities include investigating and reviewing insurance information upon pre-admission and admission, obtaining critical benefit details such as co-pays, deductibles, and co-insurance amounts, and verifying insurance eligibility and benefit information to confirm all insurance requirements are met—including referrals and authorizations. You'll resolve complex problem accounts to determine primary insurance and coordination of benefits (COB) information, ensuring seamless processing across our insurance payor systems. This position demands strong attention to detail, the ability to multitask in a fast-paced environment with frequent interruptions, and a commitment to maintaining the highest standards of accuracy and compliance in all revenue cycle operations.</p> <p>REQUIRED:</p><ul><li>High school diploma or GED equivalent</li><li>Two (2) years of healthcare insurance experience (eligibility verification, insurance billing, or related revenue cycle functions in a hospital or medical office setting)</li><li>Knowledge of insurance coverage types, coordination of benefits (COB) rules, and processing procedures</li><li>Experience with insurance payor systems</li><li>Strong computer skills and proficiency with Microsoft Office products</li><li>Ability to multitask in a fast-paced environment with frequent interruptions</li></ul><p>PREFERRED:</p><ul><li>EPIC system training or experience</li><li>ICD-10 medical terminology knowledge</li><li>Demonstrated ability to adapt to new technologies</li></ul>