Billing & Insurance Follow - up Analyst
Newport News, Virginia
Overview
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.
Qualifications
Education
- High School Diploma or GED, (Required)
- Bachelors Degree, Business Administration, Accounting, Finance or related field (Preferred)
Experience
- 2 years Customer Service or Revenue Cycle experience (Required)
- 1 year Billing/Insurance Follow-up (Preferred)
Licenses and Certifications
- CRCR - Healthcare Financial Management Association (HFMA) (Preferred)
To learn more about being a team member with Riverside Health System visit us at
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