Cone Health

Practice Insurance Analyst

ID
2021-6416
Location
CHAPS Building
Work Location
US-NC-Greensboro
Division : Name
Cone Health Medical Group
Department : Name
HSG-Mobile Community Testing
Category
TEMPORARY EMPLOYEE
Position Sub-Category
TEMPORARY EMPLOYEE
Position Type
Temporary
Employment Type
Employee
Exempt/NonExempt
Non-Exempt
FTE
1.00
Work Hours
40
Provider Schedule (specific schedule)
m- f
On call Required
No
Sub Category
TEMPORARY EMPLOYEE

Overview

Responsible for Insurance follow-up activities and Workqueue maintenance in the Charge Review, Follow-Up No Response, Follow-Up Denial, Claims Clearinghouse/Payor Rejections, Retro Review, Claim Edit, Pre-Collections, Credit Workqueues and appointment scheduling, patient billing calls and Insurance Medical records request/chart reviews.

Responsibilities


Assists patients by phone and in person with insurance and billing questions and schedules patient appointments by phone in an efficient, friendly and courteous manner.

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Daily maintenance of assigned Workqueues.

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Handles all follow up on denied claims and resolves claim issues timely to keep accounts out of the 60+ days aging category.

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Identifies and refers patients with insurance balances over $100 (patient or insurance) to Collections Specialist for phone contact and follow up.

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Identifies and resolves any claims processing issues such as appeals, medical records requests, coordination of benefits questionnaires and pre-existing condition questionnaires.

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Performs Front Office duties (check-in/check-out) and daily deposit as assigned.

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Performs Charge Entry and Charge Entry Verification as needed.

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Pulls EOBs for any claim in 31-60 or older category to scan to Revenue Cycle Team for posting.

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Qualifications


EDUCATION:
High School Diploma or equivalent, Required

EXPERIENCE:
1 year, Preferred

1 year previous billing experience preferred.

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED

PREFERRED

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