Insurance Specialist - Revenue Cycle

Posted Yesterday
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Hiring Remotely in Troy, MI, USA
In-Office or Remote
Junior
Healthtech
The Role
Verifies patient insurance eligibility, benefits, referrals, authorizations, demographics, and financial information from pre-admission through discharge. Resolves complex accounts, determines primary insurance and coordination of benefits, and ensures accurate processing through payer systems. The role requires healthcare insurance or revenue cycle experience, knowledge of coverage and COB rules, strong computer skills, and attention to detail in a fast-paced environment.
Summary Generated by Built In
Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.

Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

Job Description

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.

Qualifications

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

Skills Required

  • High school diploma or GED equivalent
  • Two years of healthcare insurance experience, including eligibility verification, insurance billing, or related revenue cycle functions in a hospital or medical office setting
  • Knowledge of insurance coverage types, coordination of benefits rules, and processing procedures
  • Experience with insurance payer systems
  • Strong computer skills and proficiency with Microsoft Office products
  • Ability to multitask in a fast-paced environment with frequent interruptions
  • EPIC system training or experience
  • ICD-10 medical terminology knowledge
  • Demonstrated ability to adapt to new technologies
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The Company
50,000 Employees
Year Founded: 1915

What We Do

Henry Ford Health is a Detroit-headquartered academic healthcare system serving more than 2 million people across Michigan and beyond. Its integrated offerings include primary, preventive, urgent, specialty, home, and virtual care, health insurance, pharmacy, and eye care. The organization also advances clinical innovation, research, clinical trials, medical education, community health, health equity, and services for vulnerable communities throughout the region.

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