ID Billing Analyst II

About the Role

Impact you will make

You will build a foundational knowledge of insurance requirements and assist in resolving eligibility issues that impact claims reimbursement. This role ensures that missed or secondary insurance coverages are pursued for payment to optimize reimbursement and reduce patient liability. The representative collaborates closely with payers, patients, and internal teams to resolve account discrepancies and complete the billing cycle efficiently and compliantly.

What you will do

* Learn and navigate the Insurance Discover platform and Hospital Patient Account Systems

* Work assigned insurance eligibility accounts and assist in resolving 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 (e.g., inactive coverage, COB, incorrect payer)

* Load or Correct insurance information in client systems and resubmit claims when applicable

* Collaborate with team members to ensure accurate and timely resolution

* 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

* Obtain and maintain offsite access to patient accounting systems (PAS)

* Complete all mandatory PAS training

* Upkeep process documentation, as assigned.

* Meet productivity and quality standards as established by the department.

What you will bring

* 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

What we would like to see

* 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.

About FinThrive

FinThrive is advancing the healthcare economy.

For the most recent information on FinThrive's vision for healthcare revenue management visit finthrive.com/why-finthrive.

Award-winning Culture of Customer-centricity and Reliability

At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at https://finthrive.com/careers#culture.

Our Perks and Benefits

FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits.

FinThrive's Core Values and Expectations

• Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
• Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA, and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations

Physical Demands

The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.