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Billing & Insurance Follow-up Analyst (Home Health)

Riverside Health System

Accounts Receivable Specialist

Newport News, Virginia

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)
Vacancy posted 2 days ago
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