Billing & Insurance Follow-up Analyst (Home Health)

Riverside Health SystemNewport News, VA

About The Position

Provides timely submission for government and non-governmental payers, including self-pay for assigned facilities. Provides follow-up on all claims to ensure timely receipt of payments, resolves outstanding account balances, researches and writes appeals, and works with aging reports. What you will do Manages assigned portion of AR to resolve outstanding account balances utilizing reports and appropriate electronic tools, performs timely follow-up on all insurances, identifies issues and trends and reports to management. Creates a detailed narrative each month regarding aged accounts. Acts as a liaison between the business office and all front end locations and insurance companies. Completes the claim work queue daily. Reviews government, non-government, and Self Pay claims for accuracy. Performs claim follow-up and submits adjustments. Follows up on zero pay remittance and works the aging report. Resolves outstanding balances. Responds and resolves patient inquiries and/or issues. Responds to insurance company requests for information. May research and write appeals on denied accounts. May enter ancillary charges.

Requirements

  • High School Diploma or GED, (Required)
  • 2 years Customer Service or Revenue Cycle experience (Required)

Nice To Haves

  • Bachelors Degree, Business Administration, Accounting, Finance or related field (Preferred)
  • 1 year Billing/Insurance Follow-up (Preferred)
  • CRCR - Healthcare Financial Management Association (HFMA) (Preferred)

Responsibilities

  • Manages assigned portion of AR to resolve outstanding account balances utilizing reports and appropriate electronic tools
  • Performs timely follow-up on all insurances
  • Identifies issues and trends and reports to management
  • Creates a detailed narrative each month regarding aged accounts
  • Acts as a liaison between the business office and all front end locations and insurance companies
  • Completes the claim work queue daily
  • Reviews government, non-government, and Self Pay claims for accuracy
  • Performs claim follow-up and submits adjustments
  • Follows up on zero pay remittance and works the aging report
  • Resolves outstanding balances
  • Responds and resolves patient inquiries and/or issues
  • Responds to insurance company requests for information
  • May research and write appeals on denied accounts
  • May enter ancillary charges

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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