Analyst-Insurance Coverage Quality

Analyst-Insurance Coverage Quality

Job ID: 45882

Job Category: Finance and Accounting

Work Type: Full Time

Work Schedule: Days

Department: Admissions Patient Access

Facility: BMHCC System Services

Location: Memphis, TN

Overview

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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