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Community Health Systems · 1 day ago

Self-Pay Integrity Analyst - REMOTE

United States

Full-time

Remote

New Grad, Entry Level

0+ years exp

Community Health Systems is one of the nation’s leading healthcare providers, committed to helping people get well and live healthier. The Self-Pay Integrity Analyst is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms.

Health CareHospital

Responsibilities

Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation

Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process

Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication

Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information

Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts

Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances

Ensures proper application of account dispositions and follows self-pay policies and procedures

Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards

Performs other duties as assigned

Maintains regular and reliable attendance

Complies with all policies and standards

Qualification

Medical collections processesPayer reimbursement policiesInsurance claim resolutionElectronic medical record systemsRegulatory compliance knowledgeProblem-solving skillsEffective communication skillsAttention to detailWork independently