Insurance Sr. Specialist / Full Time / Remote

Business (Non-Clinical)

The CBO Insurance Sr. Specialist is responsible for effectively and efficiently resolving complex accounts, acting as a subject matter resource for his / her functional area, coaching team members on account resolution workflows, and assisting the supervisor with team management. The Sr. Specialist confirms the accuracy and completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently to resolve complex diagnostic accounts. The Sr. Specialist helps drive change by identifying areas where performance improvement is needed (for example, day-to-day workflow, education, process improvements, patient satisfaction). The Sr. Specialist performs quality validations of information as well as continuous education and opportunity feedback to a multi-disciplinary team with the objective of managing the cost of care and providing timely and accurate information to payers.

EDUCATION AND EXPERIENCE :

• High school diploma or equivalent required.
• 5+ years experience in revenue cycle / CBO required.
• Extensive revenue cycle process improvement experience required.
• Prior experience in a healthcare revenue cycle position required.
• Billing / coding certificate preferred.
• College course work in accounting, business or healthcare administration, preferred.
• Intermediate knowledge of Microsoft suite products preferred.