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Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.
We are seeking an experienced Medical Coding Auditor to support our continued growth and commitment to deliver exceptional client outcomes.
Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
Autonomy and Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.
Your Mission: As our next Professional Insurance Collector ll, you will assist the team in resolving patient accounts to get claims paid properly and quickly by working with the insurance company, thus reducing the outstanding accounts receivable for Xtensys. A successful Professional Insurance Collector will have strong computer skills, be comfortable with medical terminology, are organized and thrive in a highly structured environment. Members of the Revenue Cycle team work independently but are flexible and collaborative to ensure that the department’s goals are met.
Maintain and manage Epic work queues, including Follow-Up and Denial work queues, ensuring timely and effective handling of all items within these queues to support efficient claims processing and account resolution.
Reviews credit balances for overpayments. Refunds are done timely.
Handles any correspondence including rejections on a timely basis.
Interacts and works closely with other departments of the Medical Centers.
Maintains a working knowledge of all billing functions, procedures and regulations.
Research problems relating to patient accounts, including working with other departments concerning billing issues.
Engage with patients and payers via phone to address and resolve issues related to accounts, ensuring effective communication to facilitate prompt resolution.
Identifying problematics trends and communicating with department leaders.
Researches, identifies, and rectifies any special circumstances affecting the resolution of the account.
Meets established quality and productivity goals set by management.
Is responsible for attending all mandatory education programs as required.
Maintains confidentiality and adheres to all HIPAA guidelines and regulations.
It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties which may be assigned.
Who You Are & What You’ll Bring
3-5 years of billing and insurance collections in a healthcare environment.
Working knowledge of all billing functions, procedures and regulations.
High School Diploma or GED required. Associate’s degree or Coding Certification preferred.
Revenue Cycle Systems Knowledge: Understanding of billing platforms and claim workflows
Experience with Epic is a plus.
Travel Requirements: No travel required
Physical Readiness: Capability for sedentary work, including sitting for long periods
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