ID Billing Analyst II

FinThrive

. Build foundational knowledge of insurance requirements and assist in resolving eligibility issues affecting claims reimbursement .

Posted 11/5/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance verification processes, including knowledge of health insurance types and eligibility requirements. Proficient in using billing systems and maintaining compliance with HIPAA regulations while optimizing claims reimbursement.

Highest-signal resume keywords

Insurance VerificationHealth Insurance KnowledgeBilling Systems ProficiencyHIPAA ComplianceAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Eligibility ResolutionCoordination Of BenefitsClaims ResubmissionPayer CorrespondenceBilling Forms FamiliarityPatient RegistrationMedicaid Eligibility UnderstandingProcess DocumentationPayer Portal NavigationMS Office Proficiency

Soft Skills

Time ManagementOrganizational SkillsCommunication SkillsAbility To Work IndependentlyTeam Collaboration

Tools & Technologies

Insurance Discover PlatformHospital Patient Account SystemsEpicCernerMeditech

Certifications & Qualifications

Medical Billing CertificationHealthcare Administration Coursework

Industry Keywords

HealthcareInsuranceClaims ReimbursementPatient AccessEligibility Denials

About the role

Key responsibilities & impact

Build foundational knowledge of insurance requirements and assist in resolving eligibility issues affecting claims reimbursement
Pursue missed or secondary insurance coverages to optimize reimbursement and reduce patient liability
Collaborate with payers, patients, and internal teams to resolve account discrepancies and complete the billing cycle efficiently and compliantly
Learn and navigate the Insurance Discover platform and Hospital Patient Account Systems
Work assigned insurance eligibility accounts and resolve issues related to coverage, coordination of benefits, and patient information
Contact insurance companies to verify active coverage, eligibility dates, and policy details
Identify and document reasons for eligibility denials, including inactive coverage, COB, and incorrect payer
Load or correct insurance information in client systems and resubmit claims when applicable
Use appropriate status codes and follow-up indicators in the system
Escalate complex or recurring issues to senior staff
Prepare basic payer correspondence or appeals when needed
Maintain compliance with HIPAA and internal policies
Maintain process documentation as assigned
Meet department productivity and quality standards

Requirements

What you’ll need

1 or more years of experience in healthcare, insurance verification, or related field
Basic understanding of health insurance types (Medicare, Medicaid, Commercial)
Willingness to learn eligibility requirements and COB rules
Excellent attention to detail, time management, organizational and communication skills
Comfort using payer portals and EMR/billing platforms
Proficiency with MS Office tools (Excel, Word)
Ability to meet productivity and quality benchmarks within training period
Familiarity with billing forms (UB-04, 1500) and payer correspondence preferred
Coursework or certification in medical billing, healthcare administration, or insurance
Experience in insurance verification, patient registration, or patient access roles
Understanding of Medicaid eligibility processes or tools
Proficiency with billing systems (e.g., Epic, Cerner, Meditech)
Ability to work independently and in a team environment
Ability to maintain HIPAA-compliant handling of patient information and comply with HIPAA, FCRA, GLBA, and other applicable laws
Obtain and maintain offsite access to patient accounting systems (PAS)
Complete all mandatory PAS training

Benefits

Comp & perks

FinThrive states it offers perks and benefits, with up-to-date offerings available at finthrive.com/careers-benefits.
Equal Opportunity Employer protections and reasonable accommodations for individuals with disabilities.