Cost Estimate Analyst Lead

Responsibilities

• Facilitate the concerted efforts of the team to achieve and sustain desirable levels of customer service.
• Ensure accuracy of patient information for authorizations, estimates, and patient assistance efficiently.
• Work in an integrated, harmonious manner with other team leads, departments, and managers.
• Serve as a mentor and role model for fellow team members through demonstrating an outstanding work ethic.
• Maintain access to resources and ensure that accounts are complete and secure.
• Lead the team to collect necessary insurance benefit and clinical information to properly authorize ordered services with the insurance company.
• Support insurance and benefit verification, pre‑certification, and pre‑authorization processes.
• Determine when the patient is under‑insured so additional funding sources can be evaluated and applied.

Requirements

• High School Diploma or GED with a minimum of three years customer service experience in a hospital or physician office setting.
• Medical insurance knowledge of at least one year.
• Bachelor’s Degree in Healthcare Administration or a related field; Government Program experience of one year preferred.
• One to two years of registration or insurance verification related experience required.
• Two years of registration/billing/insurance experience required.
• Three years of registration experience preferred.
• Strong analytical skills.
• Customer service experience required.
• Strong knowledge of EHR programs (e.g., Epic).
• Medical terminology knowledge.
• ICD‑10, CPT, HCPCS codes, and coding processes.
• Substantial knowledge of or experience with other front‑end processes, including scheduling, pre‑registration, financial counseling, and registration; understanding of the revenue cycle as a whole.
• Superb teamwork skills.
• Excellent time‑management skills and the ability to multitask.
• Excellent writing, oral, and interpersonal communication skills.
• Strong understanding and comfort level with computer systems and payor regulations.
• Epic experience.
• 35 words per minute data entry.
• Excellent verbal communication skills, including the ability to speak and listen effectively.