Physician Insurance Analyst 4
About The Position
Inova is looking for a dedicated Physician Insurance Analyst to join the team. This role will be Full-Time Monday through Friday Hybrid. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.
Requirements
- 3 years Account Executive Experience in Revenue cycle operations, billing, collections, cash posting, and/or administrative support in physician billing
- High School or GED
Responsibilities
- Performs the duties of a Physician Insurance Analyst 1, 2, and 3 and demonstrates leadership by providing training to new staff or deploying insurance updates to existing staff.
- Responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims, while meeting the expected Productivity and Quality Standards on a weekly basis.
- Processes claims for all payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and processes all types of EPIC charge reviews and claim edits. Assure all assigned claims meet clearinghouse and/or payer processing criteria.
- Processes Appeals (levels 1 and 2) and checks claim status via phone/payer website for all payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.).
- Identifies trends and analyzes data, escalating trends to the appropriate leader/teams.
- Ensures payer response reports and rejection/denials reports are worked timely and meet Departmental Productivity and Quality Review Standards.
- Effectively interprets CPT, ICD-10, and APC reimbursements to ensure a strong receivable performance.
- Assures appropriate and timely documentation of all account activity.
- Ensures correspondence is handled appropriately.
Benefits
- medical, dental and vision coverage
- a robust team member wellness program
- Inova matches the first 5% of eligible contributions – starting on your first day.
- up to $5,250 per year in education assistance
- up to $10,000 for student loans
- 25 mental health coaching or therapy sessions, per person, per year, at no cost.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
