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Open nowPosted yesterday

Analyst-Insurance Coverage Quality

Baptist1,569 open roles

Where
Memphis, TN, United States
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Your applicationOpen nowAnalyst-Insurance Coverage QualityBaptist · Memphis, TN, United States

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The clock on this job

Early applications get read.

9.5% of postings close within 7 days. Measured by our own scanner across the market. Baptist postings stay open a median of 5 days.

Share of postings closed within
  1. 1.8%1 day
  2. 4.0%3 days
  3. 9.5%7 days
  4. 15.6%14 days
  5. 33.9%30 days
This job: posted yesterday

Baptist median: 5 days open

The posting

Job Description

Job Summary

Job Summary The Insurance Coverage Quality Analyst is responsible for ensuring accurate and timely insurance coverage updates across patient accounts. This role focuses on improving coverage validation, reducing self-pay balances, and minimizing billing errors through proactive account reviews, customer service engagement, and workflow optimization.

Required Population Served

Job Responsibilities

Job Responsibilities • Add and correct insurance coverage on patient accounts. • Perform retro authorizations and rebill accounts as needed. • Validate coverage for discharged patients. • Conduct daily, future, and post-discharge self-pay scrubs (30, 60, and 90-day). • Review eligibility denials for potential coverage by other payers and DSH eligibility. • Manage Out-of-Network (OON) work queues and ensure all commercial insurances are added for OON accounts. • Monitor and resolve failed billing account work queue errors related to coverage effective dates and validation checks. • Provide staff education on coverage processes and best practices. • Work closely with facility teams on First Source identified coverage and in-house insurance changes. • Completes additional assignments as needed.

Specifications

Experience Description Minimum Required Preferred/Desired

Minimum 2 years in insurance verification, billing, or revenue cycle operations. Familiarity with Hospital and Physician Billing workflows.

Education Description Minimum Required Preferred/Desired Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred.

Training Description Minimum Required Preferred/Desired

Special Skills Description Minimum Required Preferred/Desired Strong attention to detail and analytical skills. Excellent communication and customer service abilities. Proficiency in healthcare billing systems and work queue management.

Licensure Description Minimum Required Preferred/Desired

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