Insurance Specialist - Revenue Cycle

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.
REQUIRED:
High school diploma or GED equivalent
Two (2) years of healthcare insurance experience (eligibility verification, insurance billing, or related revenue cycle functions in a hospital or medical office setting)
Knowledge of insurance coverage types, coordination of benefits (COB) rules, and processing procedures
Experience with insurance payor systems
Strong computer skills and proficiency with Microsoft Office products
Ability to multitask in a fast-paced environment with frequent interruptions
PREFERRED:
EPIC system training or experience
ICD-10 medical terminology knowledge
Demonstrated ability to adapt to new technologies

Employment type
Full-time

Work arrangement
Yes