The Clinic Insurance Analyst handles insurance-related tasks and assists patients with inquiries regarding their accounts, combining insurance processing with customer service responsibilities. Working under general supervision, this position communicates with insurance companies as needed to resolve insurance processing issues.

Essential Job Function:

Reviews and processes accounts in work queues for medical practices in order to ensure timely resolution and accurate billing. Addresses billing inquiries and concerns from patients and stakeholders, offering clear explanations and solutions, while conducting thorough account research or escalating matters to appropriate team members or managers, ensuring patient satisfaction and accurate billing information. Identifies and reports payment patterns and denial trends encountered during payment posting to the Revenue Cycle Manager, facilitating proactive measures to address issues and optimize reimbursement processes. Performs daily retrieval and posting of Electronic Explanation of Benefits (EOBs) for designated payors, processes Electronic Remittance Advice (ERAs), and generates comprehensive reconciliation reports, guaranteeing accurate payment application and financial transparency. Collaborates with the finance team to reconcile accounts and payments, ensuring financial accuracy, aiding in the preparation of financial reports, and supporting effective decision-making. Performs other duties as assigned.

Education:

Required:

High School Diploma or equivalent.

Experience:

Required:

2

Years Licensure/Certification/Listing: