Riverside Health System
Healthcare
Billing&InsuranceFollow-upAnalyst(HomeHealth)
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Billing & Insurance Follow-up Analyst (Home Health) at Riverside Health System. Skills: Billing, Insurance follow-up, Account resolution. Manage assigned portion of AR. Resolve outstanding account balances”
What You'll Achieve.
Ensure timely receipt of payments; Resolve outstanding account balances
Industry & Context.
Research appeals; Resolve outstanding balances
What They're Looking For.
Must Have
High School Diploma or GED, 2 years Customer Service or Revenue Cycle experience
Nice to Have
Bachelors Degree, Business Administration, Accounting, Finance or related field, 1 year Billing/Insurance Follow-up, CRCR - Healthcare Financial Management Association (HFMA)
What You'll Do.
Manage assigned portion of AR
Resolve outstanding account balances
Perform timely follow-up on all insurances
Identify issues and trends
Create detailed narrative regarding aged accounts
Act as liaison between business office and front
Complete claim work queue daily
and Self Pay claims for
Perform claim follow-up
Follow up on zero pay remittance
Work the aging report
Resolve outstanding balances
Respond and resolve patient inquiries and/or issues
Respond to insurance company requests for information
Research and write appeals on denied accounts
Enter ancillary charges
How You'll Work.
Team & Collaboration
Business office; Front end locations; Insurance companies
Communication Scope
Write appeals
Full Job Description
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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