Billing & Insurance Follow-up Analyst (Home Health)

Riverside HospitalNewport News, VA
Onsite

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.

Requirements

  • High School Diploma or GED
  • 2 years Customer Service or Revenue Cycle experience

Nice To Haves

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

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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